Boustany, Fred G.

Boustany, Fred G. is an sole proprietor health care provider with primary practice located at 36 Chauncy St , Boston MA 02111-2209. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Boustany, Fred G. can be contacted via phone (617) 338-5000.

Contact Information

Primary practice address
36 Chauncy St Boston MA 02111-2209
Fax: (617) 338-1039
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 15733 Massachusetts

Profile Details

NPI number 1568527331
LBN Legal business name Boustany, Fred G.
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 22nd, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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