Individual
DR. MARSHA KAY FEARING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, MPH, MMSC.
Contact information
Practice address
100 SOUTH ST, STE 102, SOUTHBRIDGE, MA 01550-4051
(508) 765-7860
(508) 765-7861
Mailing address
PO BOX 40, SOUTHBRIDGE, MA 01550-0040
(508) 909-7799
(508) 764-2432
Taxonomy
Speciality
Code
Description
License number
State
207SG0201X
Clinical Genetics (M.D.) Physician
214020
MA
207SG0202X
Clinical Biochemical Genetics Physician
214020
MA
208000000X
Pediatrics Physician
Primary
214020
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0182931
—
MA
01
—
214020
TUFTS HEALTH PLAN
MA
01
—
J25574
BCBS OF MA
MA
Enumeration date
10/20/2005
Last updated
02/07/2017
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