Leonard A . Fasano

NPI 1073672572 - Internal Medicine - 207R00000X

NPI Details
NPI 1073672572
Enumeration Date 12/08/2006
Last Updated 08/31/2010
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name PAM M PAM
Position BILLING
Phone (203) 387-2569
Fax (203) 387-9245
Practice Location
980 WHALLEY AVE
NEW HAVEN CT, 06515-1733, US
Phone (203) 387-2569
Fax (203) 387-9245
Business Location
980 WHALLEY AVE
NEW HAVEN CT, 06515-1733, US
Phone (203) 387-2569
Fax (203) 387-9245
Toxanomy
Taxonomy Code 207R00000X
License State Connecticut
License Number 08230
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According to our database, Leonard A . Fasano NPI is 1073672572, taxonomy code is 207R00000X and license number is 08230, license state is located at Connecticut. Leonard A . Fasano physically located at 980 Whalley Ave, New Haven CT, 06515-1733. NPI Number 1033115704 has the healthcare provider type.

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1073672572 NPI number is provided on an as is basis without warranty of any kind. 1073672572 is maintained by the National Plan & Provider Enumeration System. The contents of Leonard A . Fasano are for informational purposes only.