Individual
STEPHEN L FACCHINA
Active
Individual
STEPHEN L FACCHINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
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
Update your record
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