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FAIRFIELD MEDICAL CENTER INC NPI 1083703532


NPI Information

NPI: 1083703532
Provider Name: FAIRFIELD MEDICAL CENTER INC
Classification: Urology - 208800000X
Entity Type: Organization
Address:
1930 PENNSYLVANIA AVE
FAIRFIELD, CA
ZIP 94533
Phone: (707) 425-3888
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FAIRFIELD MEDICAL CENTER INC is an urology in Fairfield, CA. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. FAIRFIELD MEDICAL CENTER INC NPI is 1083703532. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1930 PENNSYLVANIA AVE
FAIRFIELD, CA
ZIP 94533
Phone: (707) 425-3888
Fax: (707) 425-7757

The provider's authorized official is Nabil F Athanassious .
The authorized official title is President and has the following contact phone number (707) 425-3888.

The enumeration date for this NPI number is 10/12/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208800000XUrologyA409530CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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