Individual provider · Type 1 NPI

Ian Robert Fair, PA-C

Surgical Physician Assistant · Brockton, MA

NPI number 1457284440 Active

Practice location

235 N Pearl St
Brockton, MA 02301-1794

Call (508) 427-3000 Map

Mailing address

1 Kettle Point Ave
East Providence, RI 02914-5375

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XPA102715 (MA)

Surgical Physician Assistant: Definition to come...

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About NPI 1457284440

Ian Robert Fair, PA-C's National Provider Identifier is 1457284440, issued on Jun 8, 2026. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Brockton, MA. The record was last updated on Jul 6, 2026.