Terry L Fazio is a Nurse Practitioner in Medford, New Jersey. Terry L Fazio practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Terry L Fazio is 1720253743. The last update date is 2021-05-12.
Terry L Fazio's current location address is 1 Medford Leas, Medford, New Jersey. You can contact this provider via phone number 6096543427 and fax number 8563223475. The mailing address for Terry L Fazio is 1 Medford Leas, Medford, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Terry L Fazio |
|---|---|
| Address | 1 Medford Leas, Medford, New Jersey |
| Phone Number | 6096543427 |
| Fax Number | 8563223475 |
| Sole Proprietor | N |
| Credentials | NP |
NPI Number Detail
| NPI Number | 1720253743 |
|---|---|
| Provider Enumeration Date | 2008-04-30 |
| Last Updated Date | 2021-05-12 |
Provider Mailing Address Detail
| Address | 1 Medford Leas |
|---|---|
| City | Medford |
| State | New Jersey (NJ) |
| Post Code | 80552254 |
| Phone Number | 6096543427 |
| Fax Number | 8563223475 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | 26NJ00018100 |
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Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
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What is the unique identification code assigned to Terry L Fazio by the Centers for Medicare & Medicaid Services?
The Terry L Fazio has been issued the NPI (National Provider Identifier) 1720253743. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Terry L Fazio is located?
The Terry L Fazio is situated at the following address: 1 Medford Leas, Medford, NJ, 80552254.
What is Terry L Fazio's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Terry L Fazio is Nurse Practitioner, and the taxonomy code that categorizes this field of expertise is 363L00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1720253743 to Terry L Fazio?
The Terry L Fazio received its 1720253743 assignment from the Centers for Medicare & Medicaid Services on 2008-04-30.
When was the information regarding Terry L Fazio most recently updated?
The details pertaining to the Terry L Fazio, including its address, specialty, and other relevant information, were last refreshed on 2021-05-12.
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