Leonard a . Fasano

NPI #1073672572 in New Haven, Connecticut

Provider Information

NPI Number: 1073672572
Entity Type: Organization
Organization Name: Leonard a . Fasano
Primary Specialty: Internal Medicine
Enumeration Date: Dec 8, 2006
Last Updated: Aug 31, 2010

Practice Location

Address: 980 WHALLEY AVE
City: New Haven
State: Connecticut
ZIP Code: 06515-1733
Phone: (203) 387-2569

Authorized Official

Name: MS. PAM M PULLANO
Title: BILLING
Phone: (203) 387-2569

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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