Organization
FAIRFIELD MEDICAL CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NABIL F ATHANASSIOUS MD (PRESIDENT)
(707) 425-3888
Entity
Organization
Contact information
Practice address
1930 PENNSYLVANIA AVE, FAIRFIELD, CA 94533
(707) 425-3888
(707) 425-7757
Mailing address
1930 PENNSYLVANIA AVE, FAIRFIELD, CA 94533
(707) 425-3888
(707) 425-7757
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
A409530
CA
Other
Enumeration date
10/12/2006
Last updated
08/22/2020
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