Dr. Douglas V. Faller
Internist Hematologist
830 Harrison Ave Moakley, 3rd Floor
Boston
, Massachusetts 02118-2905
Dr. Douglas V. Faller
Internist Hematologist
830 Harrison Ave Moakley, 3rd Floor
Boston
, Massachusetts 02118-2905
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About
Features
Specialties
- Internist
- Hematologist
Languages spoken
- English
Location
First Address
- Dr. Douglas V. Faller
- 720 Harrison Ave Dob 503
- Boston, MA
- Zip : 02118
- Phone :
Second Address
- Dr. Douglas V. Faller
- 830 Harrison Ave Moakley, 3rd Floor
- Boston, MA
- Zip : 02118-2905
- Fax : (617) 638-5756
- Phone : (617) 638-6428
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Is Dr. Douglas V. Faller a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207R00000X | Internist | 49947 | MA |
| N | 111NI0900X | Internist | 49947 | MA |
| Y | 207RH0000X | Hematologist | 49947 | MA |
National Provider Identifier
| NPI | 1285699439 |
|---|---|
| Provider Name | Dr. Douglas V. Faller |
| First Address | Boston, MA 02118 |
| Second Address | Boston, MA 02118-2905 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/04/2006 |
| Last Update Date | 09/05/2014 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 110043569A | (05) | MA |
| 3012697 | (05) | MA |
| D33551 | (02) | MA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.