Individual
GREGORY P FAZIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
30 MONUMENT RD, SUITE 1100, YORK, PA 17403-5024
(717) 851-2441
(717) 851-3521
Mailing address
3421 CONCORD RD, YORK, PA 17402-9001
(717) 851-2441
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
MD049453L
PA
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
MD049453L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001414497
—
PA
01
—
00803
HIGHMARK BLUE SHIELD
PA
01
—
01332201
CBC
PA
01
—
060034887
RAILROAD MEDICARE
PA
01
—
090501
UNISON
PA
01
—
1521509
GATEWAY CDA
PA
01
—
20007082
AMERIHEALTH MERCY CDA
PA
01
—
38407
GEISINGER CDA
PA
01
—
413897
UPMC- YH ONLY
PA
01
—
529895
MARYLAND BLUE CROSS BLUE SHIELD
PA
Enumeration date
06/02/2006
Last updated
07/05/2022
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