DOREEN T FAZIO MD

GEORGE M RAJACICH MD INC

Dr DOREEN T FAZIO MD is a female medical professional, specializing in Ophthalmology. She graduated in 1977 from State University Of New York Downstate Medical Center.

Contact

GEORGE M RAJACICH MD INC

14914 SHERMAN WAY
VAN NUYS
CA
914052113

Tel: 8187872020

DOREEN T FAZIO MD Information

Npi 1831194398
Pac Id 2668378365
Professional Enrollment Id I20031211001205
Last Name FAZIO
First Name DOREEN
Middle Name T
Suffix
Gender F
Credential MD
Medical School Name STATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER
Graduation Year 1977
Primary Specialty OPHTHALMOLOGY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name GEORGE M RAJACICH MD INC
Group Practice Pac Id 1658275599
Number Of Group Practice Members 9
Line 1 Street Address 14914 SHERMAN WAY
Line 2 Street Address
Marker Of Address Line 2 Suppression
City VAN NUYS
State CA
Zip Code 914052113
Phone Number 8187872020
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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