Fazio, Thomas L.

Fazio, Thomas L. is an individual health care provider with primary practice located at 500 Merrimack St Riverwalk, Lawrence MA 01843-1756. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Fazio, Thomas L. can be contacted via phone (978) 557-8700.

Contact Information

Primary practice address
500 Merrimack St Riverwalk Lawrence MA 01843-1756
Phone: (978) 557-8700
Fax: (978) 557-8867
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 42754 Massachusetts

Profile Details

NPI number 1902800832
LBN Legal business name Fazio, Thomas L.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2005
Last updated Oct 29th, 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 1902800832 NPPES
Other 3925416 CIGNA HEALTHCARE
Other 100014711 CIGNA HEALTHCARE
Other 0011277 CIGNA HEALTHCARE
Other 678816 CIGNA HEALTHCARE
Other D11110 CIGNA HEALTHCARE
Other 30201837 CIGNA HEALTHCARE
Other 975010 CIGNA HEALTHCARE
Other A54061 CIGNA HEALTHCARE
Other 042754 CIGNA HEALTHCARE
Other 1902800832 CIGNA HEALTHCARE
MEDICAID 2060949 CIGNA HEALTHCARE
Other 29-00569 CIGNA HEALTHCARE
Other 4035145 CIGNA HEALTHCARE
Other 1902800832 CIGNA HEALTHCARE
Other 30259 CIGNA HEALTHCARE

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