Individual
STEPHEN L FACCHINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11896 BUCHANAN TRL W, MERCERSBURG, PA 17236-9767
(717) 498-0383
(717) 498-0379
Mailing address
11896 BUCHANAN TRL W, MERCERSBURG, PA 17236-9767
(717) 498-0383
(717) 498-0379
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
D64722
MD
207W00000X
Ophthalmology Physician
Primary
MD429234
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015389300009
—
PA
05
—
1016784980002
—
PA
05
—
404603000
—
MD
05
—
411245800
—
MD
01
—
P00342706
RAILROAD MEDICARE
PA
01
—
P00349030
RAILROAD MEDICARE
MD
Enumeration date
06/12/2006
Last updated
04/08/2022
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