Fasullo, Matthew J
Fasullo, Matthew J is an individual health care provider with primary practice located at 169 Wadsworth Dr , North Chesterfield VA 23236-4500. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Fasullo, Matthew J can be contacted via phone (804) 330-4901.Contact Information
Primary practice address
169 Wadsworth Dr
North Chesterfield VA 23236-4500
Phone: (804) 330-4901
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 0102207822 | Virginia |
Profile Details
| NPI number | 1518329515 |
|---|---|
| LBN Legal business name | Fasullo, Matthew J |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 28th, 2016 |
| Last updated | Apr 12th, 2024 - about last year |
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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