Organization
IMPACT ACO BILLING COMPANY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FADI SALLOUM MD (PRESIDENT)
(248) 338-5516
Entity
Organization
Contact information
Practice address
50 N PERRY ST, PONTIAC, MI 48342-2217
(248) 338-5516
Mailing address
50 N PERRY ST, PONTIAC, MI 48342-2217
(248) 338-5516
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
05/19/2025
Last updated
05/19/2025
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