Paul F Fader, MD
Family Medicine in Provincetown, Massachusetts
1942205620- Practice location
- 49 Harry Kemp Way, Provincetown, MA 02657-1618
- Phone
- 508-487-9395
- Fax
- 508-487-6298
- Last updated
- March 10, 2021
Paul Frederick Fader is a Family Medicine based in Provincetown, MA. Paul Frederick Fader practices in Provincetown, MA and has the professional credentials of MD. The NPI Number for Paul Frederick Fader is 1942205620 and holds a License No. 19986 (AZ). The current practice location address for Paul Frederick Fader is 49 Harry Kemp Way, Provincetown, MA 02657-1618 and can be reached out via phone at 508-487-9395 and via fax at 508-487-6298.
Provider Profile Details
- NPI Number
- 1942205620
- Provider Name
- Paul Frederick Fader
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 49 Harry Kemp Way, Provincetown, MA 02657-1618
- Phone Number
- 508-487-9395
- Fax Number
- 508-487-6298
- Primary Taxonomy
- Family Medicine · 207Q00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 17, 2005
- Last Update Date
- March 10, 2021
- Certification Date
- March 10, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 49 Harry Kemp Way
Provincetown, MA 02657-1618 - City
- Provincetown
- State
- Massachusetts
- Zip
- 02657-1618
- Phone Number
- 508-487-9395
- Fax Number
- 508-487-6298
Provider Business Mailing Address Details
- Address
- Po Box 598
Harwich Port, MA 02646-0598 - City
- Harwich Port
- State
- MA
- Zip
- 02646-0598
- Phone Number
- 508-905-2800
- Fax Number
- 508-487-6298
License Information
- License Number
- 19986
- License State
- AZ
- Taxonomy
- Family Medicine · 207Q00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Paul F Fader, MD?
The NPI number of Paul F Fader, MD is 1942205620. It was assigned on June 17, 2005 and is currently active in the NPPES registry.
What is the specialty of Paul F Fader, MD?
Paul F Fader, MD is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in AZ under license number 19986.
Where does Paul F Fader, MD practice?
The practice location is 49 Harry Kemp Way, Provincetown, MA 02657-1618. The office can be reached at 508-487-9395 (phone) or 508-487-6298 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1942205620 directly on the NPPES registry website.