Individual
DR. DANIEL FADEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
830 HARRISON AVE STE 1400, BOSTON, MA 02118
(617) 638-8124
Mailing address
801 ALBANY ST FL G, BOSTON, MA 02119-3791
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
277368
MA
207Y00000X
Otolaryngology Physician
A 125762
CA
207Y00000X
Otolaryngology Physician
MD457050
PA
Other
Enumeration date
06/30/2011
Last updated
05/03/2021
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