Individual
DR. JIM FATTAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1 CLARA MAASS DR, BELLEVILLE, NJ 07109-3550
(973) 450-2000
Mailing address
4 SHASTA RD, WAYNE, NJ 07470-6114
Taxonomy
Speciality
Code
Description
License number
State
1835C0206X
Cardiology Pharmacist
Primary
28RI04263500
NJ
Other
Enumeration date
05/02/2026
Last updated
05/02/2026
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