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Individual

FADI JOULAK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
60 EAST ST STE 1100, METHUEN, MA 01844-4547
(716) 380-9239
Mailing address
60 EAST ST STE 1100, METHUEN, MA 01844-4547
(716) 380-9239

Taxonomy

Speciality
Code
Description
License number
State
246QM0706X
Medical Technologist
016191
NY
246ZC0007X
Surgical Assistant
Primary
16-480
WI

Other

Enumeration date
10/04/2016
Last updated
12/01/2020
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