Guy Michael Fasciana MD
Internal Medicine in Duryea, PA. Organization (NPI-2).
NPI number1982196002
StatusActive
Last updated in NPPESJun 4, 2018
Details
- NPI
- 1982196002
- Entity type
- Organization (NPI-2)
- Legal business name
- Guy Michael Fasciana MD
- Organization subpart
- No
- Enumeration date
- Jun 4, 2018
- Last updated
- Jun 4, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | MD039471L | PA | Yes |
Practice location
605 Main StDuryea, PA 18642-1325
Phone 570-457-1110 · Fax 570-457-2950
Mailing address
605 Main StDuryea, PA 18642-1325
Phone 570-457-1110 · Fax 570-457-2950
Authorized official
Guy Michael Fasciana
Physician
5704571110
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