Active NPIIndividual provider

Fadi Badlissi, MD

Internal Medicine, Rheumatology in Jamaica Plain, Massachusetts

NPI Number1134118714
Practice location
545A Centre St, Jamaica Plain, MA 02130-2061
Fax
617-524-2966
Last updated
May 14, 2008

Fadi Badlissi is an Internal Medicine, Rheumatology based in Jamaica Plain, MA. Fadi Badlissi practices in Jamaica Plain, MA and has the professional credentials of MD. The NPI Number for Fadi Badlissi is 1134118714 and holds a License No. 158553 (MA). The current practice location address for Fadi Badlissi is 545A Centre St, Jamaica Plain, MA 02130-2061 and can be reached out via phone at 617-522-5464 and via fax at 617-524-2966.

Provider Profile Details

NPI Number
1134118714
Provider Name
Fadi Badlissi
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
545A Centre St, Jamaica Plain, MA 02130-2061
Phone Number
617-522-5464
Fax Number
617-524-2966
Primary Taxonomy
Internal Medicine, Rheumatology · 207RR0500X
Sole Proprietor
No
Provider Enumeration Date
October 17, 2005
Last Update Date
May 14, 2008
NPI Status
Active

Provider Business Practice Location Address Details

Address
545A Centre St
Jamaica Plain, MA 02130-2061
Zip
02130-2061
Phone Number
617-522-5464
Fax Number
617-524-2966
Jamaica Plain, MA 02130Get directions →

Provider Business Mailing Address Details

Address
545A Centre St
Urban Medical Group,
Jamaica Plain, MA 02130-2061
City
Jamaica Plain
State
MA
Zip
02130-2061
Phone Number
617-522-5464
Fax Number
617-524-2966

License Information

License Number (1)
158553
License State (1)
MA
Taxonomy (1)
Internal Medicine, Geriatric Medicine · 207RG0300X
License Number (2)
158553
License State (2)
MA
Taxonomy (2)
Internal Medicine, Rheumatology · 207RR0500X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Fadi Badlissi, MD?

The NPI number of Fadi Badlissi, MD is 1134118714. It was assigned on October 17, 2005 and is currently active in the NPPES registry.

What is the specialty of Fadi Badlissi, MD?

Fadi Badlissi, MD is registered under the primary taxonomy Internal Medicine, Rheumatology (code 207RR0500X), licensed in MA under license number 158553.

Where does Fadi Badlissi, MD practice?

The practice location is 545A Centre St, Jamaica Plain, MA 02130-2061. The office can be reached at 617-522-5464 (phone) or 617-524-2966 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1134118714 directly on the NPPES registry website.

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