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1841283439
RAJA FATTALEH
PUTNAM, CT
NPI
1841283439
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CT 038188)
Enumeration Date
2005-08-29
Last Update Date
2013-11-04
Business Address
-- RAJA FATTALEH MD
353 POMFRET ST
PUTNAM, CT 06260-1835
Phone number: 860-928-1111
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Mailing Address
-- RAJA FATTALEH MD
PO BOX 333
PUTNAM, CT 06260-0333
Phone number: 860-928-1111
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