Guy Michael Fasciana Md | |
605 Main St Duryea PA 18642-1325 | |
(570) 457-1110 | |
(570) 457-2950 |
Full Name | Guy Michael Fasciana Md |
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Speciality | Internal Medicine |
Location | 605 Main St, Duryea, Pennsylvania |
Authorized Official Name and Position | Guy Michael Fasciana (PHYSICIAN) |
Authorized Official Contact | 5704571110 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Guy Michael Fasciana Md 605 Main St Duryea PA 18642-1325 Ph: (570) 457-1110 | Guy Michael Fasciana Md 605 Main St Duryea PA 18642-1325 Ph: (570) 457-1110 |
NPI Number | 1982196002 |
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Provider Enumeration Date | 06/04/2018 |
Last Update Date | 06/04/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1982196002 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | MD039471L (Pennsylvania) | Primary |