Individual
DR. DANIEL FAZIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3000 COLBY ST, SUITE 205, BERKELEY, CA 94705-2083
(510) 666-0854
Mailing address
3000 COLBY ST, SUITE 205, BERKELEY, CA 94705-2083
(510) 666-0854
(858) 505-7101
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A94253
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1891823340
—
CA
Enumeration date
02/28/2007
Last updated
04/13/2020
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