Faggen, Meredith

Faggen, Meredith is an individual health care provider with primary practice located at 541 Main St Suite 414, S Weymouth MA 02190-1868. She recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as her primary health care specialty. Faggen, Meredith can be contacted via phone (781) 952-1650.

Contact Information

Primary practice address
541 Main St Suite 414 S Weymouth MA 02190-1868
Phone: (781) 952-1650
Fax: (781) 331-4936
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X MD12408 Rhode Island

Profile Details

NPI number 1215093968
LBN Legal business name Faggen, Meredith
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 28th, 2006
Last updated Mar 7th, 2023 - about 3 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 1215093968 NPPES
Connecticut Other 35212 CT CSR
Connecticut MEDICAID 001427641 CT CSR
Connecticut Other 042764 CT CSR

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