Individual
DR. CHARLES A FATHALLAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
146 PLEASANT ST, ATTLEBORO, MA 02703-2443
(508) 226-4455
(508) 222-6778
Mailing address
146 PLEASANT ST, ATTLEBORO, MA 02703-2443
(508) 226-4455
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
47039
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
410904
RIBCBS
RI
05
—
9722335
—
MA
01
—
M13478
MASSBCBS
MA
Enumeration date
01/03/2007
Last updated
07/08/2007
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