Individual
FIONA FENNESSY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
75 FRANCIS STREET, RADIOLOGY BRIGHAM & WOMENS HOSPITAL, BOSTON, MA 02115
(617) 632-4785
(617) 525-7333
Mailing address
75 FRANCIS STREET, RADIOLOGY BRIGHAM & WOMENS HOSPITAL, BOSTON, MA 02115
(617) 632-4785
(617) 525-7333
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
213979
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2001861
—
MA
01
—
213978
TUFTS HEALTH CARE
MA
01
—
J26118
BLUE CROSS BLUE SHIELD
MA
Enumeration date
12/20/2005
Last updated
08/08/2012
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