Grace Fantl, PA-C
NPI #1710461595 in N Dartmouth, Massachusetts
Provider Information
- NPI Number
- 1710461595
- Entity Type
- Individual
- Name
- Grace Fantl, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Sep 18, 2018
- Last Updated
- Dec 20, 2022
Practice Location
- Address
- 145 FAUNCE CORNER MALL RD
- City
- N Dartmouth
- State
- Massachusetts
- ZIP Code
- 02747-6216
- Phone
- (508) 993-7601
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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