SearchPennsylvania101YM0800X

Douglas Faxon,, MS

NPI 1457863276 · on the registry since 2017 · sole proprietor

Practice

Address
7657 Gilbert St
Philadelphia, PA 19150
Phone
(267) 978-1664

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Sex
Male
Record last updated
2017-11-02

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 Pennsylvania