Individual
ROBERT FAGGELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
16 RIVERBANK PL, CARMICHAEL, CA 95608-5233
(916) 979-9860
Mailing address
16 RIVERBANK PL, CARMICHAEL, CA 95608-5233
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
G5705
CA
Other
Enumeration date
01/13/2018
Last updated
01/13/2018
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