Individual
DR. DENISE L FAUSTMAN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD, PHD
Contact information
Practice address
55 FRUIT ST 149 3601, MASSACHUSETTS GENERAL HOSPITAL, BOSTON, MA 02114-2621
(617) 726-4084
(617) 726-4095
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
207R00000X
Internal Medicine Physician
Primary
57377
MA
Other
Enumeration date
11/16/2005
Last updated
07/08/2007
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