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Individual

ROBERT FAIZON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
694 GOOD DR, SUITE 11, LANCASTER, PA 17601-2433
(717) 544-3737
(717) 544-3739
Mailing address
555 N DUKE ST, LANCASTER, PA 17602-2250
(717) 544-5511

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD424031
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000152936
UNISON
PA
01
001594593
HIGHMARK
PA
05
100901618 0002
PA
01
1416527
AETNA-HMO
PA
01
1539392
GATEWAY
PA
01
20033756
MERCY
PA
01
2272089000
INDEPENDENCE BLUE CROSS
PA
01
50056055
KEYSTONE HEALTH PLAN CENTRAL
PA
01
7113657
AETNA-NON HMO
PA
Enumeration date
06/02/2006
Last updated
04/12/2011
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