Individual
RAJA FATTALEH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
353 POMFRET ST, PUTNAM, CT 06260-1835
(860) 928-1111
(860) 963-7756
Mailing address
PO BOX 333, PUTNAM, CT 06260-0333
(860) 928-1111
(860) 963-7756
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
038188
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001381889
—
CT
Enumeration date
08/29/2005
Last updated
03/26/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us