institution
Faculty Practice Foundation , Evans Medical Foundation
Ambulatory Surgical Clinic/Center in Boston, Massachusetts
NPI 1326179532

Faculty Practice Foundation , Evans Medical Foundation is an Ambulatory Surgical Clinic/Center based in Boston, MA and is specialized in Ambulatory Surgical. Faculty Practice Foundation , Evans Medical Foundation practices in Boston, MA. The NPI Number for Faculty Practice Foundation , Evans Medical Foundation is 1326179532 and holds a License No. (Massachusetts).

The current practice location address for Faculty Practice Foundation , Evans Medical Foundation is 930 Commonwealth Ave, Boston, MA and can be reached out via phone at 617-414-6600 and via fax at 617-414-6601.

Location: 930 Commonwealth Ave, Boston, MA, 02215-1274
institution
Provider Profile Details
NPI Number
1326179532
Provider Name
Faculty Practice Foundation , Evans Medical Foundation
Credential
Provider Entity Type
Organization
Address
930 Commonwealth Ave, Boston, MA, 02215-1274
Phone Number
617-414-6600
Fax Number
617-414-6601
Provider Enumeration Date
03/08/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1320705 01 MA CIGNA
3700270 01 MA AETNA
5624667 01 MA FIRST HEALTH
623859 01 MA TUFTS HEALTH PLAN
M88035 01 MA BLUE CROSS BLUE SHIELD
0035384 01 MA NHP
institution
Provider Business Practice Location Address Details
Address
930 Commonwealth Ave
City
State
Zip
02215-1274
Phone Number
617-414-6600
Fax Number
617-414-6601
person
Provider Business Mailing Address Details
Address
930 Commonwealth Ave
City
State
Zip
02215-1274
Phone Number
617-414-6600
Fax Number
617-414-6601
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Ambulatory Surgical
Taxonomy
License No.
()
Definition
Definition to come...
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