Fastvax LLC
NPI #1508021858 in Chalfont, Pennsylvania
Provider Information
- NPI Number
- 1508021858
- Entity Type
- Organization
- Organization Name
- Fastvax LLC
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Jul 25, 2008
- Last Updated
- Jan 17, 2011
Practice Location
- Address
- 1500 HORIZON DR
- Address 2
- ST 120
- City
- Chalfont
- State
- Pennsylvania
- ZIP Code
- 18914-3966
- Phone
- (267) 308-0534
Authorized Official
- Name
- MR. SIEVERT LARSSON
- Title
- CEO
- Phone
- (215) 996-1400
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
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