Individual
KATERINA FAYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
427 COMMERCIAL ST, BOSTON, MA 02109-1081
(817) 416-3146
Mailing address
18 BRIARWOOD DR, SALEM, NH 03079-1696
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9569
MA
Other
Enumeration date
08/03/2021
Last updated
12/01/2023
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