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Individual

FRANK A FATICA

Active
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Individual

FRANK A FATICA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

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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