Michael H. Fattal M.D,

NPI 1679756704 - Otolaryngology - 207Y00000X

NPI Details
NPI 1679756704
Gender Male
Enumeration Date 12/12/2007
Last Updated 07/03/2012
Entity Type Individual
Active Over 8 years ago
Practice Location
54 BAKER AVENUE EXT
SUITE 303
CONCORD MA, 01742-2137, US
Phone (978) 369-8780
Fax (978) 369-1043
Business Location
54 BAKER AVENUE EXT
SUITE 303
CONCORD MA, 01742-2137, US
Phone (978) 369-8780
Fax (978) 369-1043
Toxanomy
Taxonomy Code 207Y00000X
License State Massachusetts
License Number 246526
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According to our database, Michael H. Fattal M.D, NPI is 1679756704, taxonomy code is 207Y00000X and license number is 246526, license state is located at Massachusetts. Michael H. Fattal M.D, physically located at 54 Baker Avenue Ext, Concord MA, 01742-2137. NPI Number Michael H. Fattal M.D, has the Individual type.

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1679756704 NPI number is provided on an as is basis without warranty of any kind. 1679756704 is maintained by the National Plan & Provider Enumeration System. The contents of Michael H. Fattal M.D, are for informational purposes only.