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Individual

ROBERT A FADA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
303 E TOWN ST, COLUMBUS, OH 43215-4601
(614) 788-5000
(614) 788-5100
Mailing address
303 E TOWN ST, COLUMBUS, OH 43215-4601
(614) 788-5000
(614) 788-5100

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
35.070263
OH
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
35070263
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2012048
OH
01
H476900
OPG MEDICARE
OH
Enumeration date
09/19/2005
Last updated
12/22/2021
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