Individual
MARC CHARLES FATER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
51 MAIN ST, HYANNIS, MA 02601-3109
(508) 771-0290
(508) 771-8671
Mailing address
51 MAIN ST, HYANNIS, MA 02601-3109
(508) 771-0290
(508) 771-8671
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
81511
MA
2082S0099X
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
81511
MA
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
81511
MA
Other
Enumeration date
10/02/2006
Last updated
07/01/2008
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