| Provider / Organization | NPI | Date Certified |
|---|---|---|
| ALEX FAZIOLI | 1780432971 | 2024-05-11 |
Alex Fazioli is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1780432971. Registration indicates Alex Fazioli is a provider of services with a specialization in Student, Health Care, Student in an Organized Health Care Education/Training Program (Student in an Organized Health Care Education/Training Program, ) (All Other Specialties & Provider Types, ) (Student in an Organized Health Care Education/Training Program, Student, Health Care)
| Entity Type | Individual |
| Provider Name | Alex Fazioli DO |
| Practice Office Address | 1400 LOCUST ST STE 11516 PITTSBURGH, PA US |
| Practice Office Telephone | 4122328111 |
| Mailing Address | 3600 FORBES AVE STE 140 PITTSBURGH, PA 152133410 US |
| Code | Practice | License No State |
|---|---|---|
| 390200000X PRIMARY | Student, Health Care Student in an Organized Health Care Education/Training Program Student in an Organized Health Care Education/Training Program All Other Specialties & Provider Types Student in an Organized Health Care Education/Training Program Student, Health Care |