Fasano, Maria Mabel

Fasano, Maria Mabel is an individual health care provider with primary practice located at 1 Hospital Dr , Lewisburg PA 17837-9314. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cytopathology, Allopathic & Osteopathic Physicians / Anatomic Pathology, Allopathic & Osteopathic Physicians / Clinical Pathology. Allopathic & Osteopathic Physicians / Clinical Pathology is her primary health care specialty. Fasano, Maria Mabel can be contacted via phone (570) 522-4110.

Contact Information

Primary practice address
1 Hospital Dr Lewisburg PA 17837-9314
Phone: (570) 522-4110
Fax: (570) 768-3911
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cytopathology 207ZC0500X MD067300L Pennsylvania
Allopathic & Osteopathic Physicians / Anatomic Pathology 207ZP0101X MD067300L Pennsylvania
Allopathic & Osteopathic Physicians / Clinical Pathology 207ZC0006X MD067300L Pennsylvania

Profile Details

NPI number 1083634018
LBN Legal business name Fasano, Maria Mabel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2006
Last updated May 24th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083634018 NPPES
Pennsylvania Other 232809429 TRICARE
Pennsylvania Other 220025023 TRICARE
Pennsylvania Other 321847 TRICARE
Pennsylvania MEDICAID 17314940004 TRICARE
Pennsylvania Other 540643 TRICARE

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