Andrea M Fasullo
MD | Pediatrics | Female
Andrea M Fasullo, MD is a Federal Way, Washington based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Andrea M Fasullo is
33501 1st Way S, Federal Way, Washington - 98003-6208. She can be contacted on phone at
253-838-2400.
Andrea M Fasullo is a sole proprietor of her business.
NPI number (Unique professional ID) for Andrea M Fasullo is
1588689491 which was assigned by NPPES on 12 Jul, 2006 and it was last updated on 10 Apr, 2008.
Andrea M Fasullo license number is
MD00036355 for Pediatrics (208000000X) in Washington.
Andrea M Fasullo is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Andrea M Fasullo basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Andrea M Fasullo |
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| Credential : | MD |
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| Gender : | Female |
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Business Address:
Andrea M Fasullo address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 33501 1st Way S
Federal Way, WA, 98003-6208
United States |
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| Phone Number : | 253-838-2400 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1588689491 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 12 Jul, 2006 |
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| Last Updated On : | 10 Apr, 2008 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Andrea M Fasullo are as mentioned. Primary taxonomy code for Andrea M Fasullo, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | MD00036355 | WA |
Legacy Identifiers:
Other legacy medical identifiers of Andrea M Fasullo such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 8232092 | MEDICAID | WA | |
| MA9229 | Other | WA | BLUE SHIELD |
| US1037387 | Other | WA | AETNA/USHC SPECIALIST |
| 0039577 | Other | WA | LABOR & INDUSTRY |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 1100 Olive Way Msc M4-pa
Seattle, WA, 98101-1873
United States |
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Business Location:
Patients can refer following map for directions to
Andrea M Fasullo practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.