person
Ms. Ellen Jo Fasanaro, NP
Pediatric Nurse Practitioner in Hawthorne, New Jersey
NPI 1760526610

Ellen Jo Fasanaro is a Pediatric Nurse Practitioner based in Hawthorne, NJ and is specialized in Pediatrics. Ellen Jo Fasanaro practices in Hawthorne, NJ and has the professional credentials of NP. The NPI Number for Ellen Jo Fasanaro is 1760526610 and holds a License No. 26NN08252000 (New Jersey).

The current practice location address for Ellen Jo Fasanaro is 1114 Goffle Rd, Hawthorne, NJ and can be reached out via phone at 973-427-7676 and via fax at 973-427-7476.

Location: 1114 Goffle Rd, Hawthorne, NJ, 07506-2014
person
Provider Profile Details
NPI Number
1760526610
Provider Name
Ellen Jo Fasanaro
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
1114 Goffle Rd, Hawthorne, NJ, 07506-2014
Phone Number
973-427-7676
Fax Number
973-427-7476
Provider Enumeration Date
02/16/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1114 Goffle Rd
City
State
Zip
07506-2014
Phone Number
973-427-7676
Fax Number
973-427-7476
person
Provider Business Mailing Address Details
Address
1114 Goffle Rd
City
State
Zip
07506-2014
Phone Number
973-427-7676
Fax Number
973-427-7476
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
26NN08252000 (New Jersey)
Definition
Definition to come...
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