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1518927847
CHARLES FASANO
PHILADELPHIA, PA
NPI
1518927847
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: PA 05-010958L)
Enumeration Date
2006-03-23
Last Update Date
2007-07-08
Business Address
-- CHARLES FASANO DO
5501 OLD YORK RD
PHILADELPHIA, PA 19141
Phone number: 215-456-6679
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Mailing Address
-- CHARLES FASANO DO
PO BOX 13918
PHILADELPHIA, PA 19101
Phone number: 215-456-7000
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