Fazio, Ignazio
Fazio, Ignazio is an individual health care provider with primary practice located at 342 Hamburg Tpke Ste 201, Wayne NJ 07470-2162. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Fazio, Ignazio can be contacted via phone (973) 389-1119.Contact Information
Primary practice address
342 Hamburg Tpke Ste 201
Wayne NJ 07470-2162
Phone: (973) 389-1119
Fax: (973) 389-1145
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 25MA06047400 | New Jersey |
Profile Details
| NPI number | 1972500528 |
|---|---|
| LBN Legal business name | Fazio, Ignazio |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 28th, 2005 |
| Last updated | Mar 1st, 2012 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972500528 | NPPES |
| New Jersey | MEDICAID | 6236502 |
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