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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NPI Details

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208800000XUrologyA409530CALIFORNIAYes

What is NPI?

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This page was last updated on: 3/30/2025

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