National Provider Identifier

Richard Joseph Fastiggi, MD

Richard Joseph Fastiggi, MD is listed in the NPPES registry with a primary specialty of Gastroenterology Physician in Corning, NY and a listed phone number of (607) 936-9971.

NPI 1053387613Corning, NYGastroenterology Physician

Profile Overview

NPI
1053387613
Provider Type
Individual
Primary Specialty
Gastroenterology Physician
Enumeration Date
February 24, 2006
Last Updated
July 29, 2011

Practice Location

  • 130 Center Way
  • Corning, NY 14830-2255

Phone: (607) 936-9971

Mailing Address

  • 1 Guthrie Sq
  • Sayre, PA 18840-1625

Specialties

  • Gastroenterology Physician (207RG0100X)
  • Gastroenterology Physician (207RG0100X)
Full Record
NPI
1053387613
Entity Type
Individual
Last Name
Fastiggi
First Name
Richard
Middle Name
Joseph
Name Prefix
Dr.
Credential
MD
Mailing Street Address
1 Guthrie Sq
Mailing City
Sayre
Mailing State
PA
Mailing ZIP Code
18840-1625
Mailing Country
US
Mailing Phone
(570) 888-5858
Practice Street Address
130 Center Way
Practice City
Corning
Practice State
NY
Practice ZIP Code
14830-2255
Practice Country
US
Practice Phone
(607) 936-9971
Practice Fax
(607) 936-2600
Enumeration Date
February 24, 2006
Last Updated
July 29, 2011
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Gastroenterology Physician (207RG0100X), Gastroenterology Physician (207RG0100X)
Other Identifiers
GU039871 (PA, Medicare Group), 001097790002 (PA), CC8362 (NY, Rr Medicare Group), 01035905 (NY), 110209180 (PA, Rr Medicare Pin)