Individual
MARK FAIRWEATHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
75 FRANCIS ST, BOSTON, MA 02115
(617) 732-6861
Mailing address
75 FRANCIS ST, BOSTON, MA 02115-6110
(617) 732-7925
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
250373
MA
Other
Enumeration date
03/25/2009
Last updated
06/18/2018
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