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1841334539
FAYETTE C ROOT
BROCKTON, MA
NPI
1841334539
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: MA 34315)
Enumeration Date
2007-02-16
Last Update Date
2007-07-08
Business Address
FAYETTE C ROOT M.D.
91 BELCHER AVE
BROCKTON, MA 02301-4105
Phone number: 508-586-7403
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Mailing Address
FAYETTE C ROOT M.D.
91 BELCHER AVE
BROCKTON, MA 02301-4105
Phone number: 508-586-7403
Copy
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