Individual
DR. PAMELA ANNE MARIE FAZIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
728 MARNE HWY STE 200A, MOORESTOWN, NJ 08057-3128
(856) 291-8855
Mailing address
301 LIPPINCOTT DR STE 410, MARLTON, NJ 08053-4197
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25MB11110400
NJ
207UN0901X
Nuclear Cardiology Physician
Primary
25MB11110400
NJ
390200000X
Student in an Organized Health Care Education/Training Program
OT018437
PA
Other
Enumeration date
06/18/2018
Last updated
09/04/2024
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