Individual
DR. HASAN FADLALLAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
800 WASHINGTON ST, BOSTON, MA 02111-1552
(617) 636-8877
Mailing address
20 YORK ST, NEW HAVEN, CT 06510-3220
(203) 688-4242
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
270676
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/03/2014
Last updated
05/30/2019
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