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Contact Information

ALESSIO FASANO, MD
55 FRUIT STREET
YAWKEY 6B-6800
BOSTON, MA02114
 Phone: 617-724-8476
 Fax: 617-643-2384
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Gastroenterology

2080P0206X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for ALESSIO FASANO · (Male)

NPI # 1831131523
Status Active
Credentials MD
Entity Individual
Enumeration date 06/10/2006
Last updated 02/27/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • MD License # D46661
  • MD Medicaid 203721100
Hospital affiliation(s)
  • MASSACHUSETTS GENERAL HOSPITAL - (Acute Care)
    55 FRUIT STREET
    BOSTON, MA 02114
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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