Bassam N Odatalla in Fairfield - Family Medicine
Bassam N Odatalla - NPI 1063620060
Bassam N Odatalla is a Family Medicine in Fairfield, New Jersey. Bassam N Odatalla practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Bassam N Odatalla is 1063620060. The last update date is 2015-08-19.
Bassam N Odatalla's current location address is 200 Fairfield Rd, Fairfield, New Jersey. You can contact this provider via phone number 9734871944 and fax number 9734871945. The mailing address for Bassam N Odatalla is 200 Fairfield Rd, Fairfield, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bassam N Odatalla |
|---|---|
| Address | 200 Fairfield Rd, Fairfield, New Jersey |
| Phone Number | 9734871944 |
| Fax Number | 9734871945 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1063620060 |
|---|---|
| Provider Enumeration Date | 2007-05-21 |
| Last Updated Date | 2015-08-19 |
Provider Mailing Address Detail
| Address | 200 Fairfield Rd |
|---|---|
| City | Fairfield |
| State | New Jersey (NJ) |
| Post Code | 70042426 |
| Phone Number | 9734871944 |
| Fax Number | 9734871945 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 8610800 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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What is the unique 10-digit identification code issued to Bassam N Odatalla by the Centers for Medicare & Medicaid Services?
The Bassam N Odatalla has been assigned the NPI (National Provider Identifier) 1063620060 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Bassam N Odatalla located?
The Bassam N Odatalla is located at 200 Fairfield Rd, Fairfield, NJ 70042426.
What is Bassam N Odatalla's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Bassam N Odatalla is Family Medicine, and the taxonomy code that classifies this field of practice is 207Q00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1063620060 to Bassam N Odatalla?
The Centers for Medicare & Medicaid Services originally issued the 1063620060 to Bassam N Odatalla on 2007-05-21.
As of what date was the information regarding Bassam N Odatalla, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Bassam N Odatalla, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2015-08-19.