DR. Mark R Fantaski, MD

NPI #1689651630 in Gibsonia, Pennsylvania

Provider Information

NPI Number: 1689651630
Entity Type: Individual
Name: DR. Mark R Fantaski, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine
Credential: MD
Enumeration Date: Dec 29, 2005
Last Updated: Jan 14, 2008

Practice Location

Address: 5318 RANALLI DR
City: Gibsonia
State: Pennsylvania
ZIP Code: 15044-9653
Phone: (724) 449-9355

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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