Mary Beth Fasano, MD Valid NPI
Individual provider · Allergy & Immunology (Internal Medicine) Physician · Iowa City, IA
- NPI
- 1801884754
- Type
- Individual (Type 1)
- Primary specialty
- Allergy & Immunology (Internal Medicine) Physician (Internal Medicine)
- Specialty group
- Allopathic & Osteopathic Physicians
- Taxonomy code
- 207RA0201X
- License number
- 35451 (IA)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2005-10-13
- Last updated
- 2007-11-29
Practice location
200 Hawkins Dr
Iowa City, IA 52242-1009
(319) 356-3692