Individual
DR. WILLIAM C FAQUIN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD PHD
Contact information
Practice address
55 FRUIT ST, WRN 2 PATHOLOGY ASSOCIATES, BOSTON, MA 02114-2621
(617) 573-3957
(617) 573-3389
Mailing address
PO BOX 9142, MASS GENERAL PHYSICIAN ORGANIZATION, CHARLESTOWN, MA 02129-9142
(617) 724-0287
(617) 726-2894
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
Primary
156029
MA
207ZP0101X
Anatomic Pathology Physician
156029
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3181821
—
MA
01
—
791908
TUFTS HEALTH PLAN
MA
01
—
J19184
BCBS MA
MA
Enumeration date
11/08/2005
Last updated
09/11/2025
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