Fasano, Alessio

Fasano, Alessio is an individual health care provider with primary practice located at 55 Fruit Street Yawkey 6B-6800, Boston MA 02114. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Gastroenterology, which is considered as his primary health care specialty. Fasano, Alessio can be contacted via phone (617) 724-8476.

Contact Information

Primary practice address
55 Fruit Street Yawkey 6B-6800 Boston MA 02114
Phone: (617) 724-8476
Fax: (617) 643-2384
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Gastroenterology 2080P0206X D46661 Maryland

Profile Details

NPI number 1831131523
LBN Legal business name Fasano, Alessio
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2006
Last updated Feb 27th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831131523 NPPES
Maryland MEDICAID 203721100

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