Doctor Name: | DR. OSCAR V FADUL |
NPI Number: | 1073680179 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 09585 |
Business Practice Address: | 507 Harley St Scottsboro, AL - 357684218 |
Business Phone Number: | 2562591314 |
Business Fax Number: | 2562596703 |
Mailing Address: | 507 Harley St, SCOTTSBORO |
State: | AL |
Postal Code: | 357684218 |
Phone Number: | 2562591314 |
Fax Number: | 2562596703 |
NPI Enumeration Date: | 11/30/2006 |
NPI Last Update Date: | 08/20/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 09585 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |