Badlissi, Fadi

Badlissi, Fadi is an individual health care provider with primary practice located at 545A Centre St , Jamaica Plain MA 02130-2061. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Rheumatology. Allopathic & Osteopathic Physicians / Rheumatology is his primary health care specialty. Badlissi, Fadi can be contacted via phone (617) 522-5464.

Contact Information

Primary practice address
545A Centre St Jamaica Plain MA 02130-2061
Phone: (617) 522-5464
Fax: (617) 524-2966
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 158553 Massachusetts
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X 158553 Massachusetts

Profile Details

NPI number 1134118714
LBN Legal business name Badlissi, Fadi
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2005
Last updated May 14th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134118714 NPPES
Massachusetts MEDICAID 2024811

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