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1518329515
MATTHEW J FASULLO
NORTH CHESTERFIELD, VA
NPI
1518329515
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RG0100X Internal Medicine, Gastroenterology
(Licence: VA 0102207822)
Enumeration Date
2016-03-28
Last Update Date
2024-04-12
Business Address
MATTHEW J FASULLO D.O.
169 WADSWORTH DR
NORTH CHESTERFIELD, VA 23236-4500
Phone number: 804-330-4901
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Mailing Address
MATTHEW J FASULLO D.O.
165 WADSWORTH DR
NORTH CHESTERFIELD, VA 23236-4500
Phone number: 804-330-4901
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