Individual
DR. JOSEPH S. FASTOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 MEMORIAL HOSPITAL, PRINCE FREDERICK, MD 20678
(301) 855-1012
Mailing address
7900 WISCONSIN AVE, SUITE 406, BETHESDA, MD 20814-3601
(301) 652-2707
(301) 907-4570
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
D0012543
MD
Other
Enumeration date
07/25/2006
Last updated
07/08/2007
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