Individual
FRANK A FATICA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
GARY T BROTHERSON MD INC NIAGARA EYE ASSOC, 1801 WEST 8 TH STREET, ERIE, PA 16505-4938
(814) 455-8004
(814) 456-6054
Mailing address
GARY T BROTHERSON MD INC NIAGARA EYE ASSOC, 1801 WEST 8 TH STREET, ERIE, PA 16505-4938
(814) 455-8004
(891) 445-6605
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
OS010267L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1011674140001
—
PA
05
—
1011674140002
—
PA
01
—
OS010267L
LICENSE
PA
Enumeration date
02/16/2006
Last updated
01/04/2017
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