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1427166172
RICK A FAIR
BOSTON, MA
NPI
1427166172
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085P0229X Radiology, Pediatric Radiology
(Licence: MA 216074)
Enumeration Date
2006-08-25
Last Update Date
2007-07-08
Business Address
-- RICK A FAIR
300 LONGWOOD AVE
BOSTON, MA 02115-5724
Phone number: 617-355-8382
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Mailing Address
-- RICK A FAIR
12 LONGWOOD LN
WALPOLE, MA 02081-2274
Phone number: 617-355-6936
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