Individual
CORY DESOLE FARAGON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 BOSTON MEDICAL CENTER PLACE, BOSTON, MA 02118-2908
(617) 638-6950
(617) 638-6966
Mailing address
960 MASSACHUSETTS AVENUE, FL 2, BOSTON, MA 02118-2908
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
1014628
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110155187A
—
MA
05
—
3141544
—
NH
Enumeration date
03/26/2019
Last updated
02/03/2026
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