Individual
CHARLES FASELIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2150 PENNSYLVANIA AVE NW, SUITE 10-409A, WASHINGTON, DC 20037-3201
(202) 741-3398
(202) 741-3396
Mailing address
2150 PENNSYLVANIA AVE NW, SUITE 10-409A, WASHINGTON, DC 20037-3201
(202) 741-3398
(202) 741-3396
Taxonomy
Speciality
Code
Description
License number
State
207RI0001X
Clinical & Laboratory Immunology (Internal Medicine) Physician
Primary
MD30767
DC
Other
Enumeration date
11/23/2007
Last updated
11/23/2007
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