Jason Fangusaro
MD | Pediatric Hematology-Oncology | Male
Jason Fangusaro, MD is a Atlanta, Georgia based Pediatric doctor with medical specialization in
Pediatric Hematology-Oncology.
Current practice location of Jason Fangusaro is
1405 Clifton Rd Ne, Atlanta, Georgia - 30322-1060. He can be contacted on phone at
404-785-1112 and fax number 404-785-6288.
Jason Fangusaro is a sole proprietor of his business.
NPI number (Unique professional ID) for Jason Fangusaro is
1508891268 which was assigned by NPPES on 11 Jul, 2006 and it was last updated on 06 Jun, 2022.
Jason Fangusaro license number is
81195 for Pediatrics Pediatric Hematology-Oncology (2080P0207X) in Georgia.
Jason Fangusaro is trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.
Complete Profile:
Jason Fangusaro basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Hematology-Oncology |
|---|
| Provider Name : | Jason Fangusaro |
|---|
| Credential : | MD |
|---|
| Gender : | Male |
|---|
Business Address:
Jason Fangusaro 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 : | 1405 Clifton Rd Ne
Atlanta, GA, 30322-1060
United States |
|---|
| Phone Number : | 404-785-1112 |
|---|
| Fax Number : | 404-785-6288 |
|---|
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 : | 1508891268 |
|---|
| NPI Entity Type : | Individual |
|---|
| First Enrolment Date : | 11 Jul, 2006 |
|---|
| Last Updated On : | 06 Jun, 2022 |
|---|
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 Jason Fangusaro are as mentioned. Primary taxonomy code for Jason Fangusaro, MD is
2080P0207X (Pediatrics Pediatric Hematology-Oncology).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080P0207X | Pediatrics Pediatric Hematology-Oncology | Yes | 81195 | GA |
Endpoints:
Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).
| Endpoint Type | Endpoint | Affiliation | Use | Content | Address |
|---|
DIRECT
(Direct Messaging Address) | choa@choa.gadirect.net
| No affiliation |
|
| 1405 CLIFTON RD NE,
ATLANTA, GA, 30322-1060
United States |
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 : | 1405 Clifton Rd Ne
Atlanta, GA, 30322-1060
United States |
|---|
| Phone Number : | 404-785-1112 |
|---|
| Fax Number : | 404-785-6288 |
|---|
Business Location:
Patients can refer following map for directions to
Jason Fangusaro 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.