Individual
THERESA FASANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
325 S BELMONT ST, YORK, PA 17403-2608
(717) 849-5331
Mailing address
PO BOX 8823, LANCASTER, PA 17604-8823
(717) 263-5562
(717) 263-1566
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD043503L
PA
Other
Enumeration date
08/03/2005
Last updated
10/19/2007
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