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Individual

VERA T. FAJTOVA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
133 BROOKLINE AVE, BOSTON, MA 02215-3904
(617) 421-1380
(617) 421-2707
Mailing address
133 BROOKLINE AVE, BOSTON, MA 02215-3904
(617) 421-1380
(617) 421-2707

Taxonomy

Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
58278
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0003047
NEIGHBORHOOD HEALTH PLAN
MA
01
058278
TUFTS HEALTH PLAN
MA
01
1422326
CIGNA
MA
05
3060004
MA
01
AA39784
HARVARD PILGRIM
MA
01
J09594
BLUE CROSS
MA
Enumeration date
08/30/2006
Last updated
02/10/2021
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