Nicholas Charles Fasano MD

NPI 1013932292 - Radiology - 2085R0202X

NPI Details
NPI 1013932292
Gender Male
Enumeration Date 07/12/2006
Last Updated 02/23/2010
Entity Type Individual
Active Over 11 years ago
Practice Location
JERSEY SHORE PA, 17740-1729, US
Phone (570) 398-5158
Business Location
302 N 3RD ST
LEWISBURG PA, 17837-1102, US
Phone (570) 768-7985
Taxonomy Code 2085R0202X
License State Pennsylvania
License Number MD428992
Remove 1013932292 NPI Number

According to our database, Dr. Nicholas Charles Fasano MD NPI is 1013932292, taxonomy code is 2085R0202X and license number is MD428992, license state is located at Pennsylvania. Nicholas Charles Fasano MD physically located at 1020 Thompson St, Jersey Shore PA, 17740-1729. NPI Number Nicholas Charles Fasano MD has the Individual type.

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1013932292 NPI number is provided on an as is basis without warranty of any kind. 1013932292 is maintained by the National Plan & Provider Enumeration System. The contents of Nicholas Charles Fasano MD are for informational purposes only.