Individual
MS. CAROL ANN FASANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
176 PALISADE AVE, CHRIST HOSPITAL, JERSEY CITY, NJ 07306-1121
(973) 681-1700
(973) 681-0221
Mailing address
SUITE 136 TERMINAL C/CAL EMPLOYEES CLINIC, NEWARK INTERNATIONAL AIRPORT, NEWARK, NJ 07114
(201) 795-8365
(973) 681-0221
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
26NN04066400
NJ
Other
Enumeration date
04/02/2009
Last updated
04/08/2009
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