NPI

Dawn Fasano-Hicks

This page is a copy of the public NPPES file.

Facts

Status
Active
Credential
cota
Type
Individual
Enumeration date
2007-01-09
Last updated
2007-07-08

Specialties

Licenses

License NJ
TA09053900

Location

Practice location
1129 Bloomfield Ave
City
West Caldwell NJ
Postal code
07006-7127
Phone
(973) 575-7576

Medicare

PECOS
No PECOS enrollment row matched this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. OIG's online search is the official check.

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Nearby

Other NPIs in West Caldwell, NJ. 402 records in the public file.

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