Organization
NEW ENGLAND HOSPITALISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KUNLE FAJANA MD (CEO)
(508) 735-3280
Entity
Organization
Contact information
Practice address
390 MAIN ST, WORCESTER, MA 01608-2583
(508) 450-9450
Mailing address
390 MAIN ST, WORCESTER, MA 01608-2583
(508) 450-9450
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
282464
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
282464
—
MA
Enumeration date
08/13/2016
Last updated
08/15/2016
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