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Individual
PETER N FATA
Active
Individual
PETER N FATA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
BP10041501
TX
2085N0700X
Neuroradiology Physician
Primary
35.138071
OH
2085N0700X
Neuroradiology Physician
ML60662153
WA
Other
Enumeration date
06/09/2011
Last updated
05/08/2020
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