Individual
FATEN SID IDRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
670 ALBANY ST RM 637, BOSTON, MA 02118-2646
(617) 414-5591
Mailing address
6 SHERBONE PL, SAYREVILLE, NJ 08872-1369
(617) 414-5591
Taxonomy
Speciality
Code
Description
License number
State
2080P0208X
Pediatric Infectious Diseases Physician
Primary
0000-0003-4231-7500
MA
Other
Enumeration date
05/01/2026
Last updated
05/01/2026
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