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PAMELA FAZZIO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-4319
(856) 296-2685
Mailing address
630 W 168TH ST, VC 507, NEW YORK, NY 10032-3725

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
271936
NY
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/22/2011
Last updated
08/15/2018
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