Ellen Jo Fasanaro in Hawthorne - Pediatrics

Ellen Jo Fasanaro - NPI 1760526610

Ellen Jo Fasanaro is a Pediatrics in Hawthorne, New Jersey. Ellen Jo Fasanaro practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Ellen Jo Fasanaro is 1760526610. The last update date is 2007-07-08.

Ellen Jo Fasanaro's current location address is 1114 Goffle Rd, Hawthorne, New Jersey. You can contact this provider via phone number 9734277676 and fax number 9734277476. The mailing address for Ellen Jo Fasanaro is 1114 Goffle Rd, Hawthorne, New Jersey. To know further, please read the information below!

Provider Profile Detail

Provider Name Ellen Jo Fasanaro
Address 1114 Goffle Rd, Hawthorne, New Jersey
Phone Number 9734277676
Fax Number 9734277476
Sole Proprietor N
Credentials NP

NPI Number Detail

NPI Number 1760526610
Provider Enumeration Date 2007-02-16
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1114 Goffle Rd
City Hawthorne
State New Jersey (NJ)
Post Code 75062014
Phone Number 9734277676
Fax Number 9734277476

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 363Lp0200X
Licence No 26NN08252000
Definition:
An advanced practice registered nurse expert in providing care to infants, children and adolescents.

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FAQs about Ellen Jo Fasanaro

What is the unique 10-digit identifier code issued to Ellen Jo Fasanaro by the Centers for Medicare & Medicaid Services?

The Ellen Jo Fasanaro has been assigned the NPI (National Provider Identifier) 1760526610 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you provide the complete address where Ellen Jo Fasanaro is physically located?

The Ellen Jo Fasanaro is situated at the following address: 1114 Goffle Rd, Hawthorne, NJ 75062014.

What is Ellen Jo Fasanaro's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Ellen Jo Fasanaro's specialized field of practice is Pediatrics, and the corresponding taxonomy code that categorizes this area of specialization is 363Lp0200X.

On what date did the Centers for Medicare & Medicaid Services assign the 1760526610 to Ellen Jo Fasanaro?

The Centers for Medicare & Medicaid Services assigned the 1760526610 to Ellen Jo Fasanaro on 2007-02-16.

When was the information pertaining to Ellen Jo Fasanaro most recently updated or revised?

The details related to Ellen Jo Fasanaro, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.

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