Individual
DR. JOSEPH JAMES FAMMARTINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4676 DOUGLAS CIR NW, CANTON, OH 44718-3619
(330) 494-1116
(330) 494-0276
Mailing address
9800 LEVIN RD NW STE 203, SILVERDALE, WA 98383-7849
(360) 307-0300
(360) 307-0302
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
35040894
OH
207W00000X
Ophthalmology Physician
MD040856E
PA
207W00000X
Ophthalmology Physician
MD2006-0840
NM
207W00000X
Ophthalmology Physician
Primary
MD60275755
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0405903
—
OH
05
—
1256825/03
—
PA
05
—
87356023
—
NM
Enumeration date
05/31/2005
Last updated
03/15/2019
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