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Individual

DR. IGNAZIO FAZIO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
342 HAMBURG TPKE, STE 201, WAYNE, NJ 07470-2162
(973) 389-1119
(973) 389-1145
Mailing address
342 HAMBURG TPKE, STE 201, WAYNE, NJ 07470-2162
(973) 389-1119
(973) 389-1145

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
25MA06047400
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6236502
NJ
Enumeration date
06/28/2005
Last updated
03/01/2012
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