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1053536193
JOSEPH MICHAEL FAZIO
METAIRIE, LA
NPI
1053536193
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: LA MD014350)
Enumeration Date
2007-04-16
Last Update Date
2007-07-08
Business Address
JOSEPH MICHAEL FAZIO MD
206 SIERRA CT
METAIRIE, LA 70001
Phone number: 504-834-1311
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Mailing Address
JOSEPH MICHAEL FAZIO MD
4021 RIDGEWAY DR
METAIRIE, LA 70002
Phone number: 504-834-2404
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