Lita Maria Fasano, ED.M.

NPI #1225513799 in Allston, Massachusetts

Provider Information

NPI Number: 1225513799
Entity Type: Individual
Name: Lita Maria Fasano, ED.M.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Credential: ED.M.
Enumeration Date: Oct 1, 2018
Last Updated: Oct 1, 2018

Practice Location

Address: 40 ARMINGTON ST
City: Allston
State: Massachusetts
ZIP Code: 02134-2406
Phone: (617) 635-8534

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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