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Organization

GUY MICHAEL FASCIANA MD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. GUY MICHAEL FASCIANA MD (PHYSICIAN)
(570) 457-1110
Entity
Organization

Contact information

Practice address
605 MAIN ST, DURYEA, PA 18642-1325
(570) 457-1110
(570) 457-2950
Mailing address
605 MAIN ST, DURYEA, PA 18642-1325
(570) 457-1110
(570) 457-2950

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD039471L
PA

Other

Enumeration date
06/04/2018
Last updated
06/04/2018
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