Individual
DR. JOSEPH J FAZALARE
Active
Individual
DR. JOSEPH J FAZALARE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
24001
WV
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
24001
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3810018178
MEDICAID
WV
01
—
4293261
MEDICARE PTAN
WV
Enumeration date
05/30/2008
Last updated
07/31/2026
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