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NPI Code Detail

MEDICARE: KRISTIN FASCHAN M.D.

MEDICARE: KRISTIN FASCHAN M.D.
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
1207Q00000XFamily Medicine Physician0012862DE
2207P00000XEmergency Medicine PhysicianMD465631PA

General Provider Information

NPI Number : 1437562089
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTIN FASCHAN M.D.
Provider Business Mailing Address
First Line : 601 MEMORY LN
Second Line :
City : YORK
State : PA
Zip : 17402-2231
Country : US
Telephone Number : 717-851-1405
Fax Number :
Provider Business Practice Location Address
First Line : 252 S 4TH ST
Second Line :
City : LEBANON
State : PA
Zip : 17042-6111
Country : US
Telephone Number : 717-270-7688
Fax Number : 717-270-3790
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/10/2014
Last Update Date : 03/05/2026

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