NPI 1013932292

Nicholas Charles Fasano, MD

Practitioner Diagnostic Radiology Physician Worcester, MA

Practice location

Address: 55 Lake Ave North, Worcester, MA 01655-0002
Phone: (508) 334-3850
Mailing address: PO Box 415348, Boston, MA 02241-5348

Registered specialties (3)

Diagnostic Radiology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2085R0202X Licence MD428992 (PA)

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Allopathic & Osteopathic Physicians Taxonomy 2085R0202X Licence 1018905 (MA)

Diagnostic Radiology Physician

Allopathic & Osteopathic Physicians Taxonomy 2085R0202X Licence D0087818 (MD)

Registry record

NPI: 1013932292
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 Jul 2006
Record last updated: 29 Jan 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.