Mary E Fazio is a Pediatric Oncology in Shorewood, Wisconsin. Mary E Fazio practices all healthcare services and medical treatments related to Pediatric Oncology. The NPI Number for Mary E Fazio is 1073504593. The last update date is 2007-07-08.
Mary E Fazio's current location address is 4520 N Ardmore Ave, Shorewood, Wisconsin. You can contact this provider via phone number 4148704121 and fax number 4149612435. The mailing address for Mary E Fazio is 4520 N Ardmore Ave, Shorewood, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary E Fazio |
|---|---|
| Address | 4520 N Ardmore Ave, Shorewood, Wisconsin |
| Phone Number | 4148704121 |
| Fax Number | 4149612435 |
| Sole Proprietor | X |
| Credentials | R.N. |
NPI Number Detail
| NPI Number | 1073504593 |
|---|---|
| Provider Enumeration Date | 2005-11-03 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 4520 N Ardmore Ave |
|---|---|
| City | Shorewood |
| State | Wisconsin (WI) |
| Post Code | 532111401 |
| Phone Number | 4148704121 |
| Fax Number | 4149612435 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Oncology |
|---|---|
| Taxonomy | 163Wp0218X |
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Definition: A registered nurse who cares for children and adolescents with cancer. |
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Post Comment/ Review Below
What is the unique identifier code issued to Mary E Fazio by the Centers for Medicare & Medicaid Services?
The Mary E Fazio has been assigned the NPI (National Provider Identifier) 1073504593. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Mary E Fazio's physical address?
The Mary E Fazio is physically located at 4520 N Ardmore Ave, in the city of Shorewood, WI, with the postal code 532111401.
What is the area of specialization for Mary E Fazio, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Mary E Fazio is Pediatric Oncology, and the corresponding taxonomy code that categorizes this area of expertise is 163Wp0218X.
On what date did the Mary E Fazio receive its 1073504593 assignment from the Centers for Medicare & Medicaid Services?
The Mary E Fazio was assigned its 1073504593 by the Centers for Medicare & Medicaid Services on 2005-11-03.
As of what date was the information pertaining to Mary E Fazio, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Mary E Fazio, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.