Individual
MICHAEL H. FATTAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D,
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
246526
MA
207YS0123X
Facial Plastic Surgery Physician
Primary
246526
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110089465A
—
MA
Enumeration date
12/12/2007
Last updated
07/03/2012
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