Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ANDREA M FASULLO, MD
ActiveANDREA M FASULLO, MD is a Pediatrics healthcare provider located in FEDERAL WAY, Washington. NPI 1588689491 is currently active in the NPPES registry. Verify at CMS.
Pediatrics · FEDERAL WAY, WA
Registration Details
- NPI Number
- 1588689491
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 12, 2006 (20.060772067186 yrs)
- Last Updated
- Apr 10, 2008
- License
-
MD00036355 (WA)
Practice Information
- Address
-
33501 1ST WAY SFEDERAL WAY, WA, 980036208Browse WA providers · Browse ZIP 98003
- Phone
- 2538382400
- Primary Specialty
-
Pediatrics
208000000X
Other Pediatrics Providers in FEDERAL WAY, WA
| Name | Credential | NPI |
|---|---|---|
| JUDITH R JOHNSON | MD | 1467445270 |
| RICHARD K GOULD | MD | 1982623377 |
| JONATHAN R FOX | MD | 1376562751 |
| DR. THEODORE ALLEN BRIDGE | M.D. | 1649375114 |
| CORRIE L TAKAHASHI | MD | 1134227903 |
| RICHARD ORY | MD | 1578659652 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.