Dr. Fadi Farah
Periodontist
95 Washington St
Canton
, Massachusetts 02021-4006
Dr. Fadi Farah
Periodontist
95 Washington St
Canton
, Massachusetts 02021-4006
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About
Features
Specialties
- Periodontist
Languages spoken
- English
Location
First Address
- Dr. Fadi Farah
- 4 Charlesgate E #406
- Boston, MA
- Zip : 02215-2350
- Phone :
Second Address
- Dr. Fadi Farah
- 95 Washington St
- Canton, MA
- Zip : 02021-4006
- Phone : (781) 821-2120
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0300X | Periodontist | 18502 | MA |
National Provider Identifier
| NPI | 1093850570 |
|---|---|
| Provider Name | Dr. Fadi Farah |
| First Address | Boston, MA 02215-2350 |
| Second Address | Canton, MA 02021-4006 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/02/2007 |
| Last Update Date | 08/07/2007 |
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.