Raja Fattaleh (NPI# 1841283439, PAC ID# 7517932106) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1841283439 |
| PAC ID by PECOS | 7517932106 |
| Professional Enrollment ID | I20040827000438 |
| Full Name | Raja Fattaleh |
| Address |
353 Pomfret St Putnam CT 06260-1835 |
| Gender | M |
| Credential | MD |
| Medical School | SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1994 |
| Primary Specialty | FAMILY MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 070003 | DAY KIMBALL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 353 Pomfret St, Putnam, CT 06260-1835 |
| Street Address |
353 POMFRET ST |
| City | PUTNAM |
| State | CT |
| Zip | 06260-1835 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Noreen A Wallace | Occupational Therapy | 174 Providence St, Putnam, CT 06260-1512 | |
| Gregory Martin Haney | Physical Therapy | 82 Providence St, Putnam, CT 06260-1530 | |
| Frederick A Barks Jr. | Chiropractic | 245 School St, Putnam, CT 06260-1621 | |
| Janet Cutting | Qualified Audiologist | Ear, Nose and Throat Associates of Worcester, Inc. | 145 Pomfret St, Putnam, CT 06260-1803 |
| Lorna Kay Murdock | Nurse Practitioner | Ear, Nose and Throat Associates of Worcester, Inc. | 145 Pomfret St, Putnam, CT 06260-1803 |
| Jane P Whitehead | Qualified Audiologist | Ear, Nose and Throat Associates of Worcester, Inc. | 145 Pomfret St, Putnam, CT 06260-1803 |
| Christopher Charon | Otolaryngology | Ear, Nose and Throat Associates of Worcester, Inc. | 145 Pomfret St, Putnam, CT 06260-1803 |
| Stephen R Kurland | Otolaryngology | Ear, Nose and Throat Associates of Worcester, Inc. | 145 Pomfret St, Putnam, CT 06260-1803 |
| Michael H Ellsworth | Orthopedic Surgery | Orthopaedic Associates of Northeastern Connecticut, L.L.C. | 255 Pomfret St, Putnam, CT 06260-1835 |
| Christopher R Payette | Podiatry | 263 Pomfret St, Putnam, CT 06260-1835 | |
| Find all physicians in zip 06260 | |||
| City | PUTNAM |
| Zip Code | 06260 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | PUTNAM + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Raja Fattaleh.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.