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Individual

FE ERLITA D FESTIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
940 BELMONT ST, BROCKTON, MA 02301-5596
(774) 826-1393
Mailing address
11 CHRISTINA DR, NORTH EASTON, MA 02356-1132
(508) 230-8830

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
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