Fatula, Justin J

Fatula, Justin J is an individual health care provider with primary practice located at 1250 S Cedar Crest Blvd Suite 110, Allentown PA 18103-6224. He recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Fatula, Justin J can be contacted via phone (610) 435-1003.

Contact Information

Primary practice address
1250 S Cedar Crest Blvd Suite 110 Allentown PA 18103-6224
Phone: (610) 435-1003
Fax: (610) 435-3184
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X MA052857 Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X MA052857 Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X MA052857 Pennsylvania

Profile Details

NPI number 1790853828
LBN Legal business name Fatula, Justin J
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2006
Last updated Sep 26th, 2007 - about 18 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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