Individual
DR. OSCAR V FADUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
507 HARLEY ST, SCOTTSBORO, AL 35768-4218
(256) 259-1314
(256) 259-6703
Mailing address
507 HARLEY ST, SCOTTSBORO, AL 35768-4218
(256) 259-1314
(256) 259-6703
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
09585
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051599042
BLUE CROSS/BLUE SHIELD
AL
05
—
112384
—
AL
Enumeration date
11/30/2006
Last updated
08/20/2009
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