Dr JUSTIN J FATULA PA is a male medical professional, specializing in Physician Assistant. He graduated in 2006.
KEYSTONE ORTHOPAEDIC SPECIALISTS, LLC
2758 CENTURY BLVD
SUITE 2
WYOMISSING
PA
196103358
Tel: 6103765646
| Npi | 1790853828 |
| Pac Id | 5193724185 |
| Professional Enrollment Id | I20061221000185 |
| Last Name | FATULA |
| First Name | JUSTIN |
| Middle Name | J |
| Suffix | |
| Gender | M |
| Credential | PA |
| Medical School Name | OTHER |
| Graduation Year | 2006 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | KEYSTONE ORTHOPAEDIC SPECIALISTS, LLC |
| Group Practice Pac Id | 2062547920 |
| Number Of Group Practice Members | 30 |
| Line 1 Street Address | 2758 CENTURY BLVD |
| Line 2 Street Address | SUITE 2 |
| Marker Of Address Line 2 Suppression | |
| City | WYOMISSING |
| State | PA |
| Zip Code | 196103358 |
| Phone Number | 6103765646 |
| Hospital Affiliation Ccn 1 | 390316 |
| Hospital Affiliation Lbn 1 | SURGICAL INSTITUTE OF READING |
| Hospital Affiliation Ccn 2 | 390044 |
| Hospital Affiliation Lbn 2 | READING HOSPITAL |
| Hospital Affiliation Ccn 3 | 390096 |
| Hospital Affiliation Lbn 3 | ST JOSEPH MEDICAL CENTER |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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