MARK R FANTASKI

GIBSONIA, PA
NPI1689651630
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: PA  MD048987L)
Enumeration Date2005-12-29
Last Update Date2008-01-14
Business Address
Dr. MARK R FANTASKI MD
5318 RANALLI DR
GIBSONIA, PA 15044-9653
Phone number: 724-449-9355
Mailing Address
Dr. MARK R FANTASKI MD
5318 RANALLI DR
GIBSONIA, PA 15044-9653
Phone number: 724-449-9355