Active NPIIndividual provider

Michael H Fattal, MD

Otolaryngology, Facial Plastic Surgery in Concord, Massachusetts

NPI Number1679756704
Practice location
54 Baker Avenue Ext, Suite 303, Concord, MA 01742-2137
Fax
978-369-1043
Last updated
July 3, 2012

Michael H. Fattal is an Otolaryngology, Facial Plastic Surgery based in Concord, MA. Michael H. Fattal practices in Concord, MA and has the professional credentials of MD. The NPI Number for Michael H. Fattal is 1679756704 and holds a License No. 246526 (MA). The current practice location address for Michael H. Fattal is 54 Baker Avenue Ext, Suite 303, Concord, MA 01742-2137 and can be reached out via phone at 978-369-8780 and via fax at 978-369-1043.

Provider Profile Details

NPI Number
1679756704
Provider Name
Michael H. Fattal
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
54 Baker Avenue Ext, Suite 303, Concord, MA 01742-2137
Phone Number
978-369-8780
Fax Number
978-369-1043
Primary Taxonomy
Otolaryngology, Facial Plastic Surgery · 207YS0123X
Sole Proprietor
No
Provider Enumeration Date
December 12, 2007
Last Update Date
July 3, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
54 Baker Avenue Ext
Suite 303
Concord, MA 01742-2137
Zip
01742-2137
Phone Number
978-369-8780
Fax Number
978-369-1043
Concord, MA 01742Get directions →

Provider Business Mailing Address Details

Address
54 Baker Avenue Ext
Suite 303
Concord, MA 01742-2137
City
Concord
State
MA
Zip
01742-2137
Phone Number
978-369-8780
Fax Number
978-369-1043

License Information

License Number (1)
246526
License State (1)
MA
Taxonomy (1)
Otolaryngology · 207Y00000X
License Number (2)
246526
License State (2)
MA
Taxonomy (2)
Otolaryngology, Facial Plastic Surgery · 207YS0123X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Michael H Fattal, MD?

The NPI number of Michael H Fattal, MD is 1679756704. It was assigned on December 12, 2007 and is currently active in the NPPES registry.

What is the specialty of Michael H Fattal, MD?

Michael H Fattal, MD is registered under the primary taxonomy Otolaryngology, Facial Plastic Surgery (code 207YS0123X), licensed in MA under license number 246526.

Where does Michael H Fattal, MD practice?

The practice location is 54 Baker Avenue Ext, Suite 303, Concord, MA 01742-2137. The office can be reached at 978-369-8780 (phone) or 978-369-1043 (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 1679756704 directly on the NPPES registry website.

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