Organization
DR.NAIL S ABDEL FATAH MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NAIL S ABDEL FATAH M.D. (OWNER)
(973) 844-3720
Entity
Organization
Contact information
Practice address
276 PROSPECT ST # 2, EAST ORANGE, NJ 07017-2889
(973) 844-3720
Mailing address
PO BOX 524, BELLEVILLE, NJ 07109-0524
(973) 844-3720
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6390706
—
NJ
Enumeration date
12/03/2007
Last updated
03/18/2008
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