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Search › Pennsylvania › 363A00000X

Justin Fatula, PA-C

NPI 1790853828 · on the registry since 2006

Practice

Address
501 Cetronia Rd Ste 125
Allentown, PA 18104
Phone
(484) 426-2501
Fax
(484) 426-2551
Organisation at this address
St. Luke'S Hospital
St Luke'S Physician Group Inc
St. Luke'S Physician Group, Inc
St. Luke'S Physician Group, Inc.
St Christophers Pediatric Urgent Care Center - Allentown Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
57

Registry record

Primary taxonomy
363A00000X
363A00000X
Also registered as
363AM0700X
363AS0400X
Licence states on file
PA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-11-17

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 Pennsylvania