Search › New Jersey › 363LP0200X
Ellen Fasanaro, NP
NPI 1760526610 · on the registry since 2007
Practice
- Address
- 1114 Goffle Rd
Hawthorne, NJ 07506 - Phone
- (973) 427-7676
- Fax
- (973) 427-7476
- Clinicians at this address
- 12
Registry record
- Primary taxonomy
- 363LP0200X
363LP0200X
- Licence states on file
- NJ
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2007-07-08
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 New Jersey