Individual
FADI A EL ATAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
127 PINE ST STE 1, MONTCLAIR, NJ 07042-4868
(973) 744-4075
(973) 744-2179
Mailing address
127 PINE ST STE 1, MONTCLAIR, NJ 07042-4868
(973) 744-4075
(973) 744-2179
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
089786
OH
207RC0000X
Cardiovascular Disease Physician
Primary
25MA08676700
NJ
Other
Enumeration date
03/12/2007
Last updated
07/21/2022
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