Individual
MICHAEL J FASANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
BERKSHIRE MEDICAL CENTER, 725 NORTH STREET, PITTSFIELD, MA 01201
(413) 447-2000
Mailing address
BERKSHIRE MEDICAL CENTER, 725 NORTH STREET, PITTSFIELD, MA 01201
(413) 447-2000
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD045345E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001194830
—
PA
Enumeration date
07/29/2005
Last updated
06/11/2019
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