Individual
FADI BADLISSI
Active
Individual
FADI BADLISSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
158553
MA
207RR0500X
Rheumatology Physician
Primary
158553
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2024811
—
MA
Enumeration date
10/17/2005
Last updated
05/14/2008
Update your record
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