Individual
DR. ARMAND P FASANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
229 60TH ST, WEST NEW YORK, NJ 07093-2805
(201) 869-0707
(201) 861-8878
Mailing address
1255 BROAD ST, STE 104, BLOOMFIELD, NJ 07003-2805
(197) 370-7705
(201) 861-8878
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
25MA06272000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6697402
—
NJ
Enumeration date
07/12/2006
Last updated
11/27/2023
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