Individual
PAIGE FAIRBANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
330 BAKER AVE, CONCORD, MA 01742-2129
(978) 287-9300
Mailing address
4 DEER RUN, ENFIELD, CT 06082-3944
(860) 895-3829
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
PA102848
MA
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
06/11/2026
Last updated
06/11/2026
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