Individual
JENNIFER FARESE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
41 MALL ROAD, LAHEY HOSPITAL AND MEDICAL CENTER, BURLINGTON, MA 01805
(781) 744-3839
(781) 744-1597
Mailing address
24 JOAN RD, MEDFORD, MA 02155-1512
(603) 401-4961
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
08/11/2016
Last updated
07/10/2018
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