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Individual

NICHOLAS FANTONY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
184 LINCOLN ST, NORTH EASTON, MA 02356-1799
(224) 777-8045
Mailing address
415 W GOLF RD STE 26, ARLINGTON HEIGHTS, IL 60005-3923
(224) 777-8045
(224) 633-1935

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary

Other

Enumeration date
07/30/2020
Last updated
07/16/2024
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