Jackie S Fantes in East Boston - Family Medicine
Jackie S Fantes - NPI 1275530719
Jackie S Fantes is a Family Medicine in East Boston, Massachusetts. Jackie S Fantes practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Jackie S Fantes is 1275530719. The last update date is 2015-01-28.
Jackie S Fantes's current location address is 10 Gove St, East Boston, Massachusetts. You can contact this provider via phone number 6175695800 and fax number 6175684780. The mailing address for Jackie S Fantes is 10 Gove St, East Boston, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jackie S Fantes |
|---|---|
| Address | 10 Gove St, East Boston, Massachusetts |
| Phone Number | 6175695800 |
| Fax Number | 6175684780 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1275530719 |
|---|---|
| Provider Enumeration Date | 2005-06-30 |
| Last Updated Date | 2015-01-28 |
Provider Mailing Address Detail
| Address | 10 Gove St |
|---|---|
| City | East Boston |
| State | Massachusetts (MA) |
| Post Code | 21281920 |
| Phone Number | 6175695800 |
| Fax Number | 6175684780 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 261649 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Post Comment/ Review Below
What is the Jackie S Fantes's 1275530719?
The Jackie S Fantes's NPI (National Provider Identifier) Number is 1275530719. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Jackie S Fantes is physically located?
The Jackie S Fantes is situated at the following address: 10 Gove St, East Boston, MA 21281920.
What is Jackie S Fantes's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Jackie S Fantes is Family Medicine, and the taxonomy code that classifies this field of practice is 207Q00000X.
When was the Jackie S Fantes's 1275530719 issued?
The Jackie S Fantes's 1275530719 was issued on 2005-06-30.
As of what date was the information regarding Jackie S Fantes, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Jackie S Fantes, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2015-01-28.
NPI Number: 1942206313
Address: 1250 N Wenatchee Ave Suite H Pmb 352, Wenatchee, WA