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Individual

ADEL FALTAOUS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5185 US ROUTE 60 E, SUITE 26, HUNTINGTON, WV 25705-2078
(304) 691-8910
(304) 691-1860
Mailing address
5185 US ROUTE 60 E, SUITE 26, HUNTINGTON, WV 25705-2078
(304) 691-8910
(304) 691-1860

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
17911
WV
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
17911
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0114070000
WV
05
0984118
OH
05
64700362
KY
Enumeration date
03/23/2006
Last updated
11/17/2021
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