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NPI Code Detail

MEDICARE: MICHAEL JOSEPH FAZZINI DO

MEDICARE: MICHAEL JOSEPH FAZZINI DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine PhysicianOS020671PA
2207R00000XInternal Medicine Physician5101023377MI

General Provider Information

NPI Number : 1417487703
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL JOSEPH FAZZINI DO
Provider Business Mailing Address
First Line : PO BOX 1549
Second Line :
City : BUTLER
State : PA
Zip : 16003-1549
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1 HOSPITAL WAY
Second Line :
City : BUTLER
State : PA
Zip : 16001-4670
Country : US
Telephone Number : 724-285-0823
Fax Number : 724-285-0879
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/19/2017
Last Update Date : 02/03/2026

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Directions to “ MICHAEL JOSEPH FAZZINI DO” Practice Location

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