Individual
MRS. TERRY L FAZIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1 MEDFORD LEAS, MEDFORD, NJ 08055-2254
(609) 654-3427
(856) 322-3475
Mailing address
1 MEDFORD LEAS, MEDFORD, NJ 08055-2254
(609) 654-3397
(856) 322-3475
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26NJ00018100
NJ
Other
Enumeration date
04/30/2008
Last updated
05/12/2021
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