Dr. Jason Andrew Fawley
Surgeon Surgical Critical Care
15 Parkman Street Churchill Surgical Clinic
Bost
, Massachusetts 02114-3117
Dr. Jason Andrew Fawley
Surgeon Surgical Critical Care
15 Parkman Street Churchill Surgical Clinic
Bost
, Massachusetts 02114-3117
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About
Features
Specialties
- Surgeon
- Surgical Critical Care
Languages spoken
- English
Location
First Address
- Dr. Jason Andrew Fawley
- 165 Cambridge St Ste 810
- Boston, MA
- Zip : 02114-2747
- Phone :
Second Address
- Dr. Jason Andrew Fawley
- 15 Parkman Street Churchill Surgical Clinic
- Bost, MA
- Zip : 02114-3117
- Phone : (617) 643-7557
Reviews
FAQs
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Is Dr. Jason Andrew Fawley a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208200000X | Surgeon | 280467 | MA |
| Y | 208600000X | Surgeon | 280467 | MA |
| N | 2086S0102X | Surgical Critical Care | 280467 | MA |
National Provider Identifier
| NPI | 1114218146 |
|---|---|
| Provider Name | Dr. Jason Andrew Fawley |
| First Address | Boston, MA 02114-2747 |
| Second Address | Bost, MA 02114-3117 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/04/2011 |
| Last Update Date | 04/10/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1114218146 | (05) | WI |
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.