Active NPIIndividual providerSole proprietor

Dr. David P Faxon, MD

Internal Medicine, Cardiovascular Disease in Roxbury Crossing, Massachusetts

NPI Number1770681017
Practice location
1620 Tremont St, Obc-3-12p, Roxbury Crossing, MA 02120-1613
Fax
—
Last updated
October 9, 2012

David Parker Faxon is an Internal Medicine, Cardiovascular Disease based in Roxbury Crossing, MA. David Parker Faxon practices in Roxbury Crossing, MA and has the professional credentials of MD. The NPI Number for David Parker Faxon is 1770681017 and holds a License No. 37416 (MA). The current practice location address for David Parker Faxon is 1620 Tremont St, Obc-3-12p, Roxbury Crossing, MA 02120-1613 and can be reached out via phone at 617-525-8358.

Provider Profile Details

NPI Number
1770681017
Provider Name
David Parker Faxon
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1620 Tremont St, Obc-3-12p, Roxbury Crossing, MA 02120-1613
Phone Number
617-525-8358
Primary Taxonomy
Internal Medicine, Cardiovascular Disease · 207RC0000X
Sole Proprietor
Yes
Provider Enumeration Date
September 20, 2006
Last Update Date
October 9, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
1620 Tremont St
Obc-3-12p
Roxbury Crossing, MA 02120-1613
Zip
02120-1613
Phone Number
617-525-8358
Roxbury Crossing, MA 02120Get directions →

Provider Business Mailing Address Details

Address
1620 Tremont St
Obc-3-12j
Roxbury Crossing, MA 02120-1613
City
Roxbury Crossing
State
MA
Zip
02120-1613
Phone Number
617-525-8358

License Information

License Number (1)
37416
License State (1)
MA
Taxonomy (1)
Internal Medicine, Cardiovascular Disease · 207RC0000X · Primary
License Number (2)
37416
License State (2)
MA

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 Dr. David P Faxon, MD?

The NPI number of Dr. David P Faxon, MD is 1770681017. It was assigned on September 20, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. David P Faxon, MD?

Dr. David P Faxon, MD is registered under the primary taxonomy Internal Medicine, Cardiovascular Disease (code 207RC0000X), licensed in MA under license number 37416.

Where does Dr. David P Faxon, MD practice?

The practice location is 1620 Tremont St, Obc-3-12p, Roxbury Crossing, MA 02120-1613. The office can be reached at 617-525-8358 (phone).

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 1770681017 directly on the NPPES registry website.

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