Organization
LEONARD A . FASANO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PAM M PULLANO (BILLING)
(203) 387-2569
Entity
Organization
Contact information
Practice address
980 WHALLEY AVE, NEW HAVEN, CT 06515-1733
(203) 387-2569
(203) 387-9245
Mailing address
980 WHALLEY AVE, NEW HAVEN, CT 06515-1733
(203) 387-2569
(203) 387-9245
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
08230
CT
Other
Enumeration date
12/08/2006
Last updated
08/31/2010
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