Mrs. Serena Fasano
Obstetrician
13 Bradlee Rd
Medford
, Massachusetts 02155-3110
Mrs. Serena Fasano
Obstetrician
13 Bradlee Rd
Medford
, Massachusetts 02155-3110
(781) 395-1110
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About
Features
Specialties
- Obstetrician
Languages spoken
- English
Location
First Address
- Mrs. Serena Fasano
- 13 Bradlee Rd
- Medford, MA
- Zip : 02155-3110
- Phone : (781) 395-1110
Second Address
- Mrs. Serena Fasano
- 13 Bradlee Rd
- Medford, MA
- Zip : 02155-3110
- Phone : (781) 395-1110
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207VX0000X | Obstetrician | RN2311932 | MA |
National Provider Identifier
| NPI | 1215413240 |
|---|---|
| Provider Name | Mrs. Serena Fasano |
| First Address | Medford, MA 02155-3110 |
| Second Address | Medford, MA 02155-3110 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 12/07/2018 |
| Last Update Date | 12/07/2018 |
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.