Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207W00000X | Ophthalmologist | 273302-1 | NY |
N | 207W00000X | Ophthalmologist | C10009377 | DE |
N | 207W00000X | Ophthalmologist | MD34227 | AL |
N | 207W00000X | Ophthalmologist | MT192252 | PA |
NPI | 1003072018 |
---|---|
Provider Name | Dr. Christopher M. Fecarotta |
First Address | Phoenix, AZ 85018-2327 |
Second Address | Phoenix, AZ 85037 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/07/2008 |
Last Update Date | 01/06/2018 |