Individual
CYNTHIA ROMER FATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
231 E CHESTNUT ST, LOUISVILLE, KY 40202-1821
(502) 456-6211
(502) 456-4440
Mailing address
1941 BISHOP LN STE 1018, LOUISVILLE, KY 40218-1928
(502) 456-6211
(502) 456-4440
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
55551
KY
207ZP0213X
Pediatric Pathology Physician
55551
KY
Other
Enumeration date
06/16/2009
Last updated
08/04/2021
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