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1689651630
MARK R FANTASKI
GIBSONIA, PA
NPI
1689651630
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: PA MD048987L)
Enumeration Date
2005-12-29
Last Update Date
2008-01-14
Business Address
Dr. MARK R FANTASKI MD
5318 RANALLI DR
GIBSONIA, PA 15044-9653
Phone number: 724-449-9355
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Mailing Address
Dr. MARK R FANTASKI MD
5318 RANALLI DR
GIBSONIA, PA 15044-9653
Phone number: 724-449-9355
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