| Anthony Fasciano, Dmd, Llc | |
|
617 E Palisade Ave Englewood Cliffs NJ 07632-1831 | |
| (201) 894-0350 | |
| (201) 541-6728 |
| Full Name | Anthony Fasciano, Dmd, Llc |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 617 E Palisade Ave, Englewood Cliffs, New Jersey |
| Authorized Official Name and Position | Anthony Fasciano (OWNER) |
| Authorized Official Contact | 2018940350 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Anthony Fasciano, Dmd, Llc 617 E Palisade Ave Englewood Cliffs NJ 07632-1831 Ph: (201) 894-0350 | Anthony Fasciano, Dmd, Llc 617 E Palisade Ave Englewood Cliffs NJ 07632-1831 Ph: (201) 894-0350 |
| NPI Number | 1912072471 |
|---|---|
| Provider Enumeration Date | 11/21/2006 |
| Last Update Date | 03/01/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912072471 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | NJ17458 (New Jersey) | Primary |
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