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Nicholas Charles Fasano, MD
Diagnostic Radiology Physician in Worcester, Massachusetts
NPI 1013932292

Nicholas Charles Fasano is a Diagnostic Radiology Physician based in Boston, MA and is specialized in Diagnostic Radiology. Nicholas Charles Fasano practices in Worcester, MA and has the professional credentials of MD. The NPI Number for Nicholas Charles Fasano is 1013932292 and holds a License No. D0087818 (Massachusetts).

The current practice location address for Nicholas Charles Fasano is 55 Lake Ave North, Worcester, MA and can be reached out via phone at 508-334-3850.

Location: 55 Lake Ave North, Worcester, MA, 02241-5348
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1013932292
Provider Name
Nicholas Charles Fasano
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
55 Lake Ave North, Worcester, MA, 02241-5348
Phone Number
508-334-3850
Fax Number
Provider Enumeration Date
07/12/2006
Last Update Date
12/14/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
072163821 05 DC
1017198590001 05 PA
887303800 05 MD
institution
Provider Business Practice Location Address Details
Address
55 Lake Ave North
City
Worcester
State
Massachusetts
Zip
01655-0002
Phone Number
508-334-3850
Fax Number
person
Provider Business Mailing Address Details
Address
55 Lake Ave North
City
Worcester
State
Massachusetts
Zip
01655-0002
Phone Number
508-334-3850
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
D0087818 (Maryland)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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