Most Relevant Information
Provider Data
| NPI Number: | 1003465386 |
| Provider Name: | PHILIPP JOHANN FASSBENDER MD |
| Entity Type: | Individual |
| Taxonomy Code: | 207L00000X |
| Specialty: | Anesthesiology |
| License Number: | 282073 |
Most Important Dates
| Enumeration Date: | 09/09/2019 |
| Last Updated: | 04/01/2022 |
Provider Practice Location
111 E 210TH ST
BRONX
NY
104672401
Practice Location Phone/Fax
| Phone: | 7189204316 |
| Fax: |
Provider Mailing Location
111 E 210TH ST DEPT OF
BRONX
NY
104672401
Provider Mailing Phone/Fax
| Phone: | 7189204316 |
| Fax: |