Individual
DR. PAUL FATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
64 ROBBINS ST, WATERBURY, CT 06708-2600
(203) 573-7257
(203) 573-6073
Mailing address
64 ROBBINS ST, WATERBURY, CT 06708-2600
(203) 573-7257
(203) 573-6073
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/19/2022
Last updated
07/19/2022
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