Individual
MR. JASON R FANTINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
7000 STONEWOOD DR STE 151, WEXFORD, PA 15090-7376
(724) 933-0300
(724) 933-0456
Mailing address
7000 STONEWOOD DR STE 151, WEXFORD, PA 15090-7376
(724) 933-0300
(724) 933-0456
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA050975
PA
Other
Enumeration date
01/09/2009
Last updated
01/09/2009
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