Individual
MS. CYNTHIA ANN FAHEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
799 HOPE ST, PROVIDENCE, RI 02906-3635
(508) 479-1632
Mailing address
799 HOPE ST, PROVIDENCE, RI 02906-3635
(508) 479-1632
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
1563
MA
363A00000X
Physician Assistant
Primary
PA00575
RI
Other
Enumeration date
10/06/2005
Last updated
09/28/2020
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