Individual
DR. MEREDITH FAGGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
541 MAIN ST, SUITE 414, S WEYMOUTH, MA 02190-1868
(781) 952-1650
(781) 331-4936
Mailing address
541 MAIN ST, SUITE 414, S WEYMOUTH, MA 02190-1868
(781) 952-1650
(781) 331-4936
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
MD12408
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001427641
—
CT
01
—
042764
CT PHYSICIAN LICENSE
CT
01
—
35212
CT CSR
CT
Enumeration date
12/28/2006
Last updated
03/07/2023
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