Search › Massachusetts › 156FX1800X
Kenneth Fazio, LDO
NPI 1457133308 · on the registry since 2023 · sole proprietor
Practice
- Address
- 9 Hope Ave
South Waltham, MA 02453 - Phone
- (781) 216-1444
Registry record
- Primary taxonomy
- 156FX1800X
156FX1800X
- Also registered as
- 156FX1800X
- Licence states on file
- MA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-11-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Massachusetts