Fathallah, Charles A

Fathallah, Charles A is an sole proprietor health care provider with primary practice located at 146 Pleasant St , Attleboro MA 02703-2443. She recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as her primary health care specialty. Fathallah, Charles A can be contacted via phone (508) 226-4455.

Contact Information

Primary practice address
146 Pleasant St Attleboro MA 02703-2443
Fax: (508) 222-6778
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 47039 Massachusetts

Profile Details

NPI number 1790832913
LBN Legal business name Fathallah, Charles A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 3rd, 2007
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790832913 NPPES
Massachusetts MEDICAID 9722335
Massachusetts Other M13478
Massachusetts Other 410904

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