Individual
PETER N FATA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 PERKINS SQ, AKRON, OH 44308-1063
(330) 543-8275
(330) 543-3760
Mailing address
1 PERKINS SQ, AKRON, OH 44308-1063
(330) 543-8275
(330) 543-3760
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
BP10041501
TX
2085N0700X
Neuroradiology Physician
Primary
35.138071
OH
2085N0700X
Neuroradiology Physician
ML60662153
WA
Other
Enumeration date
06/09/2011
Last updated
05/08/2020
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