Dr. Marissa A Fast, MD
Pediatrics in Peabody, Massachusetts
1225266414- Practice location
- 10 Centennial Dr, Peabody, MA 01960-7938
- Phone
- 978-535-1110
- Fax
- 978-535-5910
- Last updated
- June 8, 2012
Marissa Anne Fast is a Pediatrics based in Peabody, MA. Marissa Anne Fast practices in Peabody, MA and has the professional credentials of MD. The NPI Number for Marissa Anne Fast is 1225266414 and holds a License No. LP01709 (RI). The current practice location address for Marissa Anne Fast is 10 Centennial Dr, Peabody, MA 01960-7938 and can be reached out via phone at 978-535-1110 and via fax at 978-535-5910.
Provider Profile Details
- NPI Number
- 1225266414
- Provider Name
- Marissa Anne Fast
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 10 Centennial Dr, Peabody, MA 01960-7938
- Phone Number
- 978-535-1110
- Fax Number
- 978-535-5910
- Primary Taxonomy
- Pediatrics · 208000000X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 25, 2009
- Last Update Date
- June 8, 2012
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 10 Centennial Dr
Peabody, MA 01960-7938 - City
- Peabody
- State
- Massachusetts
- Zip
- 01960-7938
- Phone Number
- 978-535-1110
- Fax Number
- 978-535-5910
Provider Business Mailing Address Details
- Address
- 10 Centennial Dr
Peabody, MA 01960-7938 - City
- Peabody
- State
- MA
- Zip
- 01960-7938
- Phone Number
- 978-535-1110
- Fax Number
- 978-535-5910
License Information
- License Number (1)
- LP01709
- License State (1)
- RI
- Taxonomy (1)
- Pediatrics · 208000000X
- License Number (2)
- 250584
- License State (2)
- MA
- Taxonomy (2)
- Pediatrics · 208000000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Pediatrics providers near Peabody, MA
View all Pediatrics providers in Peabody →Frequently Asked Questions
What is the NPI number of Dr. Marissa A Fast, MD?
The NPI number of Dr. Marissa A Fast, MD is 1225266414. It was assigned on June 25, 2009 and is currently active in the NPPES registry.
What is the specialty of Dr. Marissa A Fast, MD?
Dr. Marissa A Fast, MD is registered under the primary taxonomy Pediatrics (code 208000000X), licensed in RI under license number LP01709.
Where does Dr. Marissa A Fast, MD practice?
The practice location is 10 Centennial Dr, Peabody, MA 01960-7938. The office can be reached at 978-535-1110 (phone) or 978-535-5910 (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 1225266414 directly on the NPPES registry website.