Whalio Doctors

NPI 1679756704

Michael H. Fattal, MD

Practitioner Facial Plastic Surgery Physician Concord, MA

Practice location

Address
54 Baker Avenue Ext Suite 303, Concord, MA 01742-2137
Phone
(978) 369-8780
Fax
(978) 369-1043

Registered specialties (2)

Facial Plastic Surgery Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207YS0123X Licence 246526 (MA)
Otolaryngology Physician
Allopathic & Osteopathic Physicians Taxonomy 207Y00000X Licence 246526 (MA)

Registry record

NPI
1679756704
Entity type
Individual
Sex (as registered)
Male
NPI issued
12 Dec 2007
Record last updated
3 Jul 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.