CHARLES FASANO

PHILADELPHIA, PA
NPI1518927847
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207P00000X Emergency Medicine
(Licence: PA  05-010958L)
Enumeration Date2006-03-23
Last Update Date2007-07-08
Business Address
-- CHARLES FASANO DO
5501 OLD YORK RD
PHILADELPHIA, PA 19141
Phone number: 215-456-6679
Mailing Address
-- CHARLES FASANO DO
PO BOX 13918
PHILADELPHIA, PA 19101
Phone number: 215-456-7000
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