TIMOTHY FAHEY

LEICESTER, MA
NPI1568621720
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171000000X Military Health Care Provider
(Licence: MA  6741)
Enumeration Date2008-06-03
Last Update Date2008-06-03
Business Address
Mr. TIMOTHY FAHEY otr
4 NEWFIELD ST
LEICESTER, MA 01524-1416
Phone number: 508-954-0943
Mailing Address
Mr. TIMOTHY FAHEY otr
4 NEWFIELD ST
LEICESTER, MA 01524-1416
Phone number: 508-954-0943