Individual
DR. DANIEL J FASSERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
23 S ARCH ST, MILTON, PA 17847-1124
(570) 768-4970
Mailing address
416 MARKET ST, SUITE 214, LEWISBURG, PA 17837
(570) 768-4970
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD426751
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50050308
CAPITAL BLUE
—
01
—
94623
GEISINGER
—
Enumeration date
09/20/2006
Last updated
01/02/2019
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