Individual
SHARON FATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
30 NORTHAMPTON ST, BOSTON, MA 02118-4010
(617) 433-9601
Mailing address
30 NORTHAMPTON ST, BOSTON, MA 02118-4010
(617) 433-9601
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN14406
MA
Other
Enumeration date
08/16/2016
Last updated
08/16/2016
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