Ignazio Fazio, MD Valid NPI

Individual provider · Nephrology Physician · Wayne, NJ

NPI

1972500528

Type

Individual (Type 1)

Primary specialty

Nephrology Physician (Internal Medicine)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207RN0300X

License number

25MA06047400 (NJ)

Sex

Male

Sole proprietor

No

Enumerated

2005-06-28

Last updated

2012-03-01