1518018902

Everything you always wanted to know about FASTMAN H DAVID MD but were afraid to ask.

FASTMAN H DAVID MD

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Provider Last Name Provider Middle Name Provider First Name Provider Credential
FASTMAN H DAVID MD
Gender:
Male
Enumeration date:
2007-01-15
Last update date:
2007-07-08
Current as of:
Is sole proprietor?:
No
Is organization subpart?:
No
In PECOS?:
Yes
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Identifiers

identifier description issuer state

Taxonomies

Taxonomy State License Number Primary?
207V00000X Obstetrics & Gynecology NY 150876

Phone Numbers

Type Number
Mailing Address Fax Number 3154452936
Mailing Address Telephone Number 3154463904
Practice Location Address Telephone Number 7188184570
Practice Location Address Fax Number 7188183715

Addresses

Type Address City State Postal Country
Mailing Address PO BOX 2003 EAST SYRACUSE NY 13057 NY
Practice Location Address 355 BARD AVE STATEN ISLAND NY 10310 NY

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Individual
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Individual
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Individual
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