Individual
DR. CRAIG THOMAS FASULLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ND
Contact information
Practice address
315 E CENTER ST, MANCHESTER, CT 06040-5251
(860) 533-0179
Mailing address
315 E CENTER ST, MANCHESTER, CT 06040-5251
(860) 533-0179
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
000533
CT
Other
Enumeration date
11/10/2009
Last updated
10/11/2019
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