# SIMON FAYNZILBERGMD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316184005
- **Authorized official:** DR. SIMON FAYNZILBERG (PRESIDENT)
- **Authorized official phone:** (617) 817-2070

## Contact information

- **Practice address:** 157 WINTHROP RD UNIT 2, BROOKLINE, MA 02445-4642
- **Practice address phone:** (617) 817-2070
- **Practice address fax:** (617) 232-0515
- **Mailing address:** 157 WINTHROP RD UNIT 2, BROOKLINE, MA 02445-4642
- **Mailing address phone:** (617) 817-2070
- **Mailing address fax:** (617) 232-0515

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 160820 | MA | Yes |
| 261QM2500X | Medical Specialty Clinic/Center | 160820 | MA | — |
| 261QP3300X | Pain Clinic/Center | 160820 | MA | — |

## Other

- **Enumeration date:** 01/16/2009
- **Last updated:** 01/16/2009