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1801067145
MICHAEL E FATH, D.O., P.C
KINGSTON, PA
NPI
1801067145
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Entity Type
Organization
Authorized Contact
MICHAEL E FATH
CEO/President
570-718-8676
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: PA OS012073)
Enumeration Date
2008-03-14
Last Update Date
2021-01-22
Business Address
MICHAEL E FATH, D.O., P.C
575 PIERCE ST STE 101
KINGSTON, PA 18704-5700
Phone number: 570-718-8676
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Mailing Address
MICHAEL E FATH, D.O., P.C
575 PIERCE ST STE 101
KINGSTON, PA 18704-5700
Phone number: 570-338-2345
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