Individual
MATTHEW FADUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
55 FRUIT ST, YAWKEY 6A, BOSTON, MA 02114-2621
(843) 609-6875
Mailing address
55 FRUIT ST, BOSTON, MA 02114-2621
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
283021
MA
Other
Enumeration date
06/13/2016
Last updated
07/12/2022
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