Individual
SALVATORE FAZIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
3401 N BROAD ST, PHILADELPHIA, PA 19140-5103
(445) 227-2891
Mailing address
3509 N BROAD ST STE 226, PHILADELPHIA, PA 19140-4105
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
SC007279
PA
Other
Enumeration date
07/06/2022
Last updated
07/09/2022
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