MICHAEL FASANO

KINGSTON, PA
NPI1548827918
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207W00000X Ophthalmology
(Licence: PA  OS022889)
Enumeration Date2019-05-21
Last Update Date2024-06-21
Business Address
MICHAEL FASANO
703 RUTTER AVE
KINGSTON, PA 18704-4801
Phone number: 570-288-7405
Mailing Address
MICHAEL FASANO
703 RUTTER AVE
KINGSTON, PA 18704-4801
Phone number: 570-288-7405
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