Nathaniel Fastenberg in Mesa - Medical Oncology

Nathaniel Fastenberg - NPI 1417942905

Nathaniel Fastenberg is a Medical Oncology in Mesa, Arizona. Nathaniel Fastenberg practices all healthcare services and medical treatments related to Medical Oncology. The NPI Number for Nathaniel Fastenberg is 1417942905. The last update date is 2014-06-04.

Nathaniel Fastenberg's current location address is 6111 E Arbor Ave, Mesa, Arizona. You can contact this provider via phone number 4809811326 and fax number 4809811445. The mailing address for Nathaniel Fastenberg is 6111 E Arbor Ave, Mesa, Arizona. To know further, please read the information below!

Provider Profile Detail

Provider Name Nathaniel Fastenberg
Address 6111 E Arbor Ave, Mesa, Arizona
Phone Number 4809811326
Fax Number 4809811445
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1417942905
Provider Enumeration Date 2005-09-12
Last Updated Date 2014-06-04

Provider Mailing Address Detail

Address 6111 E Arbor Ave
City Mesa
State Arizona (AZ)
Post Code 852066059
Phone Number 4809811326
Fax Number 4809811445

Provider's Primary Taxonomy Detail

Speciality Medical Oncology
Taxonomy 207Rx0202X
Licence No 11622
Definition:
An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
236217 AZ AHCCCS
P00329821 AZ RAILROAD MEDICARE

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FAQs about Nathaniel Fastenberg

What is the unique identifier code issued to Nathaniel Fastenberg by the Centers for Medicare & Medicaid Services (CMS)?

The Nathaniel Fastenberg has been assigned the NPI (National Provider Identifier) 1417942905. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Can you provide the Nathaniel Fastenberg's physical address?

The Nathaniel Fastenberg is physically located at 6111 E Arbor Ave, in the city of Mesa, AZ, with the postal code 852066059.

What is the Nathaniel Fastenberg's specialty and taxonomy code?

The Nathaniel Fastenberg's specialty is Medical Oncology, and the corresponding taxonomy code is 207Rx0202X.

On what date did the Centers for Medicare & Medicaid Services issue the 1417942905 to Nathaniel Fastenberg?

The Nathaniel Fastenberg received its 1417942905 assignment from the Centers for Medicare & Medicaid Services on 2005-09-12.

When was the Nathaniel Fastenberg's information last updated?

The Nathaniel Fastenberg's information was last updated on 2014-06-04.

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