IndividualActive
Michael Fattal, M.D,
NPI 1679756704 · Facial Plastic Surgery Physician · Concord, MA
Provider details
- NPI number
- 1679756704
- Entity type
- Individual
- Primary specialty
- Facial Plastic Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D,
- Sex
- Male
- Sole proprietor
- No
- License
- 246526 (MA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
54 Baker Avenue Ext
Suite 303
Concord, MA 01742-2137
Phone: (978) 369-8780
Fax: (978) 369-1043
Approximate (ZIP-level) locationGet directions
Mailing address
54 Baker Avenue Ext
Concord, MA 01742-2137
Registry dates
- Enumerated
- 2007-12-12
- Last updated
- 2012-07-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.