Individual
DEBRA M FOTI-FLYNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
9 HOPE AVE, WALTHAM, MA 02453-2741
(781) 891-8670
Mailing address
9 HOPE AVE, WALTHAM, MA 02453-2741
(781) 891-8670
Taxonomy
Speciality
Code
Description
License number
State
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
131790
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0708151
—
MA
Enumeration date
05/13/2006
Last updated
01/24/2008
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