Christopher Frank Fasulo, PA-C

NPI #1346767647 in Madera, California

Provider Information

NPI Number: 1346767647
Entity Type: Individual
Name: Christopher Frank Fasulo, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Aug 28, 2017
Last Updated: Sep 22, 2017

Practice Location

Address: 344 E 6TH ST
City: Madera
State: California
ZIP Code: 93638-3631
Phone: (559) 664-4000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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