MATTHEW FASOLINO

PORTLAND, ME
NPI1477081990
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: ME  DO2951)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2017-05-29
Last Update Date2025-07-31
Business Address
MATTHEW FASOLINO DO
272 CONGRESS ST
PORTLAND, ME 04101-3637
Phone number: 207-662-5856
Mailing Address
MATTHEW FASOLINO DO
272 CONGRESS ST
PORTLAND, ME 04101-3637
Phone number: 207-662-5856