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Individual
JOAN S FINE
Active
Individual
JOAN S FINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
039117
CT
208000000X
Pediatrics Physician
52269
MA
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
039117
CT
2080A0000X
Pediatric Adolescent Medicine Physician
52269
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6184928
—
MA
Enumeration date
03/03/2006
Last updated
09/11/2025
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