Provider Demographics
NPI:1164798500
Name:FABBRO, STEPHANIE K (MD)
Entity Type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:K
Last Name:FABBRO
Suffix:
Gender:F
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:4300 CLIME RD STE 100
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43228-6491
Mailing Address - Country:US
Mailing Address - Phone:614-887-7723
Mailing Address - Fax:614-639-8003
Practice Address - Street 1:4300 CLIME RD STE 100
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43228-6491
Practice Address - Country:US
Practice Address - Phone:614-887-7723
Practice Address - Fax:614-639-8003
Is Sole Proprietor?:No
Enumeration Date:2012-03-29
Last Update Date:2024-03-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OH35128224207N00000X, 207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology