Michael H. Fattal
Otolaryngologist (ENT Doctor) Facial Plastic Surgeon
54 Baker Avenue Ext Suite 303
Concord
, Massachusetts 01742-2137
Michael H. Fattal
Otolaryngologist (ENT Doctor) Facial Plastic Surgeon
54 Baker Avenue Ext Suite 303
Concord
, Massachusetts 01742-2137
(978) 369-1043
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About
Features
Specialties
- Otolaryngologist (ENT Doctor)
- Facial Plastic Surgeon
Languages spoken
- English
Location
First Address
- Michael H. Fattal
- 54 Baker Avenue Ext Suite 303
- Concord, MA
- Zip : 01742-2137
- Fax : (978) 369-1043
- Phone : (978) 369-8780
Second Address
- Michael H. Fattal
- 54 Baker Avenue Ext Suite 303
- Concord, MA
- Zip : 01742-2137
- Fax : (978) 369-1043
- Phone : (978) 369-8780
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207Y00000X | Otolaryngologist (ENT Doctor) | 246526 | MA |
| Y | 207YS0123X | Facial Plastic Surgeon | 246526 | MA |
National Provider Identifier
| NPI | 1679756704 |
|---|---|
| Provider Name | Michael H. Fattal |
| First Address | Concord, MA 01742-2137 |
| Second Address | Concord, MA 01742-2137 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 12/12/2007 |
| Last Update Date | 03/07/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 110089465A | (05) | MA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.