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1417942905
NATHANIEL FASTENBERG
MESA, AZ
NPI
1417942905
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RX0202X Internal Medicine Medical Oncology
(Licence: AZ 11622)
Enumeration Date
2005-09-12
Last Update Date
2014-06-04
Business Address
NATHANIEL FASTENBERG MD
6111 E ARBOR AVE
MESA, AZ 85206-6059
Phone number: 480-981-1326
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Mailing Address
NATHANIEL FASTENBERG MD
PO BOX 6423
CHANDLER, AZ 85246-6423
Phone number:
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