Individual
JUSTIN J FATULA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
501 CETRONIA RD STE 125, ALLENTOWN, PA 18104-9569
(484) 426-2501
(484) 426-2551
Mailing address
501 CETRONIA RD STE 125, ALLENTOWN, PA 18104-9569
(484) 426-2501
(484) 426-2551
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA052857
PA
363AM0700X
Medical Physician Assistant
MA052857
PA
363AS0400X
Surgical Physician Assistant
MA052857
PA
Other
Enumeration date
11/30/2006
Last updated
11/17/2025
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