Organization
SIMON FAYNZILBERGMD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SIMON FAYNZILBERG (PRESIDENT)
(617) 817-2070
Entity
Organization
Contact information
Practice address
157 WINTHROP RD UNIT 2, BROOKLINE, MA 02445-4642
(617) 817-2070
(617) 232-0515
Mailing address
157 WINTHROP RD UNIT 2, BROOKLINE, MA 02445-4642
(617) 817-2070
(617) 232-0515
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
160820
MA
261QM2500X
Medical Specialty Clinic/Center
160820
MA
261QP3300X
Pain Clinic/Center
160820
MA
Other
Enumeration date
01/16/2009
Last updated
01/16/2009
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