| Leonard A . Fasano | |
|
980 Whalley Ave New Haven CT 06515-1733 | |
| (203) 387-2569 | |
| (203) 387-9245 |
| Full Name | Leonard A . Fasano |
|---|---|
| Speciality | Internal Medicine |
| Location | 980 Whalley Ave, New Haven, Connecticut |
| Authorized Official Name and Position | Pam M Pullano (BILLING) |
| Authorized Official Contact | 2033872569 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Leonard A . Fasano 980 Whalley Ave New Haven CT 06515-1733 Ph: (203) 387-2569 | Leonard A . Fasano 980 Whalley Ave New Haven CT 06515-1733 Ph: (203) 387-2569 |
| NPI Number | 1073672572 |
|---|---|
| Provider Enumeration Date | 12/08/2006 |
| Last Update Date | 08/31/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073672572 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 08230 (Connecticut) | Primary |
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