Search › New Jersey › 207Q00000X
Bassam Odatalla, M.D
NPI 1063620060 · on the registry since 2007
Practice
- Address
- 200 Fairfield Rd
Fairfield, NJ 07004 - Phone
- (973) 487-1944
- Fax
- (973) 487-1945
- Organisation at this address
- Genolab Diagnostics Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Licence states on file
- NJ
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2015-08-19
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey