Individual
FARES AWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
75 FRANCIS ST, BOSTON, MA 02115-6110
(617) 732-5500
Mailing address
190 UPTON AVE, PROVIDENCE, RI 02906-5748
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
3020903
MA
Other
Enumeration date
04/15/2026
Last updated
04/15/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us