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Individual

RICHARD A FATICA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
9500 EUCLID AVE, CLEVELAND, OH 44195-0001
(800) 223-2273
Mailing address
6000 W CREEK RD, SUITE 10, INDEPENDENCE, OH 44131-2139
(800) 223-2273

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
35078323
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2124098
OH
Enumeration date
08/23/2006
Last updated
01/17/2014
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