Miss Esra M. Faden
Periodontist
1 Kneeland St
Boston
, Massachusetts 02111-1527
Miss Esra M. Faden
Periodontist
1 Kneeland St
Boston
, Massachusetts 02111-1527
(617) 817-0656
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About
Features
Specialties
- Periodontist
Languages spoken
- English
Location
First Address
- Miss Esra M. Faden
- 75 Station Lndg Apt. 526, Medford, Ma
- Medford, MA
- Zip : 02155-5127
- Phone : (617) 817-0656
Second Address
- Miss Esra M. Faden
- 1 Kneeland St
- Boston, MA
- Zip : 02111-1527
- Phone : (617) 817-0656
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FAQs
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What type of doctor is Miss Esra M. Faden
In what state does Miss Esra M. Faden practice in?
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Is Miss Esra M. Faden a sole practitioner?
Is Miss Esra M. Faden accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0300X | Periodontist | 13-J-D-0030293 | ZZ |
National Provider Identifier
| NPI | 1124573456 |
|---|---|
| Provider Name | Miss Esra M. Faden |
| First Address | Medford, MA 02155-5127 |
| Second Address | Boston, MA 02111-1527 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/08/2016 |
| Last Update Date | 16/08/2016 |
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.