Fattal, Michael H.

Fattal, Michael H. is an individual health care provider with primary practice located at 54 Baker Avenue Ext Suite 303, Concord MA 01742-2137. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Otolaryngology, Allopathic & Osteopathic Physicians / Facial Plastic Surgery. Allopathic & Osteopathic Physicians / Facial Plastic Surgery is his primary health care specialty. Fattal, Michael H. can be contacted via phone (978) 369-8780.

Contact Information

Primary practice address
54 Baker Avenue Ext Suite 303 Concord MA 01742-2137
Phone: (978) 369-8780
Fax: (978) 369-1043
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 246526 Massachusetts
Allopathic & Osteopathic Physicians / Facial Plastic Surgery 207YS0123X 246526 Massachusetts

Profile Details

NPI number 1679756704
LBN Legal business name Fattal, Michael H.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 12th, 2007
Last updated Jul 3rd, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679756704 NPPES
Massachusetts MEDICAID 110089465A

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