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Individual

CHARLES F. FATSEAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
51 BOGASTOW BROOK RD, SHERBORN, MA 01770-1262
(508) 733-6611
(508) 653-2953
Mailing address
51 BOGASTOW BROOK RD, SHERBORN, MA 01770-1262
(508) 733-6611
(508) 653-2953

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
50232
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3002314
MA
Enumeration date
07/17/2006
Last updated
06/05/2009
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