Individual
PAUL T FASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2999 NE 191ST ST, SUITE 230, AVENTURA, FL 33180-3123
(305) 933-9953
Mailing address
PO BOX 729, HALLANDALE, FL 33008-0729
(305) 503-6320
(305) 503-6329
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
ME15036
FL
Other
Enumeration date
02/02/2006
Last updated
09/17/2007
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