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Individual

BASSEL FATTAL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
601 PASSAIC AVE, WEST CALDWELL, NJ 07006-6707
(973) 575-1299
Mailing address
182 OVERMOUNT AVE APT H, WOODLAND PARK, NJ 07424-3245

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI04217600
NJ

Other

Enumeration date
12/16/2021
Last updated
12/16/2021
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