Individual
FE ERLITA D FESTIN
Active
Individual
FE ERLITA D FESTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
70419
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15-02228
EVERCARE
MA
05
—
3045790
—
MA
01
—
777070
TUFTS
—
01
—
J08405
BLUE SHIELD OF MA
MA
Enumeration date
07/28/2006
Last updated
11/13/2019
Update your record
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