Organization
FAIRFIELD HEALTHCARE PROFESSIONALS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN R JANOSO JR. (PRESIDENT & CEO)
(740) 687-8077
Entity
Organization
Contact information
Practice address
401 N EWING ST, LANCASTER, OH 43130-3372
(740) 687-8636
(740) 687-8939
Mailing address
401 N EWING ST, LANCASTER, OH 43130-3372
(740) 687-8636
(740) 687-8939
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0153462
—
OH
01
—
CD3781
MEDICARE RAILROAD
OH
Enumeration date
06/17/2006
Last updated
02/09/2022
Update your record
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