Michael Fasano

NPI #1548827918 in Kingston, Pennsylvania

Provider Information

NPI Number: 1548827918
Entity Type: Individual
Name: Michael Fasano
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Ophthalmology
Enumeration Date: May 21, 2019
Last Updated: Jun 21, 2024

Practice Location

Address: 703 RUTTER AVE
City: Kingston
State: Pennsylvania
ZIP Code: 18704-4801
Phone: (570) 288-7405

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X	Primary

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