Individual
CAITLIN FAZIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
378 FRIES MILLS RD, SEWELL, NJ 08080
(800) 427-1902
Mailing address
333 N SUMMIT ST FL 15, TOLEDO, OH 43604-2615
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
26NJ01390300
NJ
Other
Enumeration date
10/28/2022
Last updated
10/28/2022
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