Individual
JOSEPH B FAZZINI
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
RT 130 AND N GREENGATE ROAD, NORTH GREENGATE PROFESSIONAL BUILDING, JEANNETTE, PA 15644
(724) 838-1500
(724) 838-1505
Mailing address
RT 130 AND N GREENGATE ROAD, NORTH GREENGATE PROFESSIONAL BUILDING, JEANNETTE, PA 15644
(724) 838-1500
(724) 838-1505
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG001106
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007011258002
—
PA
Enumeration date
10/28/2005
Last updated
07/08/2007
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