Individual
ANTHONY B FAZZONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 HOSPITAL DR., SOUTHWESTERN VERMONT HEALTH CARE, BENNINGTON, VT 05201
(802) 442-6361
Mailing address
100 HOSPITAL DR., SOUTHWESTERN VERMONT HEALTH CARE, BENNINGTON, VT 05201
(802) 442-6361
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
042.0010702
VT
207L00000X
Anesthesiology Physician
12375
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30204515
—
NH
Enumeration date
07/13/2005
Last updated
01/29/2015
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