Individual
MARK FACCIOLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1515 SAVANNAH ROAD, LEWES, DE 19958-0001
(302) 313-2000
Mailing address
1515 SAVANNAH ROAD, LEWES, DE 19958-0001
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
C2-0012244
DE
Other
Enumeration date
04/30/2012
Last updated
03/17/2018
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