Organization
PATRICK O FASUSI, MD
Active
Other names
Premier Anesthesia-Pain Management Group
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DIANE M COTTON (ADMINISTRATIVE DIRECTOR)
(202) 291-0126
Entity
Organization
Contact information
Practice address
6323 GEORGIA AVE NW, SUITE 200, WASHINGTON, DC 20011-1101
(202) 291-0126
(202) 291-0370
Mailing address
PO BOX 10357, SILVER SPRING, MD 20914-0357
(202) 291-0126
(202) 291-0370
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD16434
DC
Other
Enumeration date
06/26/2007
Last updated
10/10/2007
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