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Individual

DR. ANTHONY JOHN FAUGNO III

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
800 WASHINGTON ST, BOSTON, MA 02111-1552
(617) 636-5000
Mailing address
800 WASHINGTON ST, BOSTON, MA 02111-1552
(617) 636-5000

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
252477
MA
207RP1001X
Pulmonary Disease Physician
Primary
262415
MA

Other

Enumeration date
06/09/2012
Last updated
05/12/2021
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