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Daniel Louis Fazzino, PA-C
Medical Physician Assistant in Woodbury, Connecticut
NPI 1013496892

Daniel Louis Fazzino is a Medical Physician Assistant based in Woodbury, CT and is specialized in Medical. Daniel Louis Fazzino practices in Woodbury, CT and has the professional credentials of PA-C. The NPI Number for Daniel Louis Fazzino is 1013496892 and holds a License No. PA55814 (Connecticut).

The current practice location address for Daniel Louis Fazzino is 76 Barnhill Rd, Woodbury, CT and can be reached out via phone at 203-217-1746.

Location: 76 Barnhill Rd, Woodbury, CT, 06798-2219
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1013496892
Provider Name
Daniel Louis Fazzino
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
76 Barnhill Rd, Woodbury, CT, 06798-2219
Phone Number
203-217-1746
Fax Number
Provider Enumeration Date
08/12/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
76 Barnhill Rd
City
Woodbury
State
Connecticut
Zip
06798-2219
Phone Number
203-217-1746
Fax Number
person
Provider Business Mailing Address Details
Address
76 Barnhill Rd
City
Woodbury
State
Connecticut
Zip
06798-2219
Phone Number
203-217-1746
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
PA55814 (California)
Definition
Definition to come...
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