Individual
RICHARD FABIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
29 CLARENDON CT N, PALM COAST, FL 32137-8353
(386) 447-3911
Mailing address
29 CLARENDON CT N, PALM COAST, FL 32137-8353
(386) 447-3911
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
31452
MA
Other
Enumeration date
03/20/2007
Last updated
07/08/2007
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