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1518616531
DAVID DEFAZIO
MORGANTOWN, WV
NPI
1518616531
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-03-18
Last Update Date
2022-03-28
Business Address
DAVID DEFAZIO MD
1 MEDICAL CENTER DR
MORGANTOWN, WV 26506-1200
Phone number: 304-598-0430
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Mailing Address
DAVID DEFAZIO MD
105 BUDDELL DR
EXTON, PA 19341-1429
Phone number:
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