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Mr. Timothy Fahey, OTR
Military Health Care Provider in Leicester, Massachusetts
NPI 1568621720

Timothy Fahey is a Military Health Care Provider based in Leicester, MA. Timothy Fahey practices in Leicester, MA and has the professional credentials of OTR. The NPI Number for Timothy Fahey is 1568621720 and holds a License No. 6741 (Massachusetts).

The current practice location address for Timothy Fahey is 4 Newfield St, Leicester, MA and can be reached out via phone at 508-954-0943. You can also correspond with Timothy Fahey through the mailing address at 4 NEWFIELD ST, LEICESTER, MA - 01524-1416 (mailing address contact number: 508-954-0943).

Location: 4 Newfield St, Leicester, MA, 01524-1416
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1568621720
Provider Name
Timothy Fahey
Credential
OTR
Provider Entity Type
Individual
Gender
Male
Address
4 Newfield St, Leicester, MA, 01524-1416
Phone Number
508-954-0943
Fax Number
Provider Enumeration Date
06/03/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4 Newfield St
City
Leicester
State
Massachusetts
Zip
01524-1416
Phone Number
508-954-0943
Fax Number
person
Provider Business Mailing Address Details
Address
4 Newfield St
City
Leicester
State
Massachusetts
Zip
01524-1416
Phone Number
508-954-0943
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
171000000X
License No.
6741 (Massachusetts)
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
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