Robert A Fasano in Lake Geneva - Internal Medicine

Robert A Fasano - NPI 1770666471

Robert A Fasano is a Internal Medicine in Lake Geneva, Wisconsin. Robert A Fasano practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Robert A Fasano is 1770666471. The last update date is 2015-01-12.

Robert A Fasano's current location address is N2950 State Road 67, Lake Geneva, Wisconsin. You can contact this provider via phone number 2622450535 and fax number 2622452248. The mailing address for Robert A Fasano is N2950 State Road 67, Lake Geneva, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Name Robert A Fasano
Address N2950 State Road 67, Lake Geneva, Wisconsin
Phone Number 2622450535
Fax Number 2622452248
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1770666471
Provider Enumeration Date 2006-10-24
Last Updated Date 2015-01-12

Provider Mailing Address Detail

Address N2950 State Road 67
City Lake Geneva
State Wisconsin (WI)
Post Code 531472655
Phone Number 2622450535
Fax Number 2622452248

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Licence No 38693
Definition:
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
FASANROB WI MERCYCARE INSURANCE
P00917285 WI RR MEDICARE
1770666471 WI --
32332100 WI --

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FAQs about Robert A Fasano

What is the unique provider identifier assigned to Robert A Fasano?

The Robert A Fasano has been issued the NPI (National Provider Identifier) 1770666471 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please share the complete physical address where Robert A Fasano is geographically located?

The Robert A Fasano is physically situated at the following location: N2950 State Road 67, Lake Geneva, WI, 531472655.

What is Robert A Fasano's specialized field of practice, and what is the corresponding taxonomy classification code?

The Robert A Fasano's area of specialization is Internal Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207R00000X.

When was the Robert A Fasano's 1770666471 issued?

The Robert A Fasano's 1770666471 was issued on 2006-10-24.

As of what date were the details related to Robert A Fasano most recently updated or revised?

The information pertaining to Robert A Fasano, including its address, specialty, and other relevant details, was last updated or revised on 2015-01-12.

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