Organization
KURT C FABRICK MD MPH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KURT C FABRICK MD MPH (OWNER)
(617) 738-6400
Entity
Organization
Contact information
Practice address
1101 BEACON ST, STE 4E, BROOKLINE, MA 02446-5587
(617) 738-6400
(617) 738-6466
Mailing address
1101 BEACON ST, SUITE 4E, BROOKLINE, MA 02446-5587
(617) 381-6400
(617) 738-6466
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
79759
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2645642
AETNA HMO
MA
05
—
3135691
—
MA
01
—
4646060
AETNA NON-HOM
MA
01
—
6164246007
CIGNA
MA
01
—
696326
HARVARD PILGRIM
MA
01
—
760121
TUFTS
MA
01
—
M17877
MASS BLUECROSS
MA
Enumeration date
11/15/2007
Last updated
09/07/2023
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