Fajtova, Vera T.

Fajtova, Vera T. is an individual health care provider with primary practice located at 133 Brookline Ave , Boston MA 02215-3904. She recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as her primary health care specialty. Fajtova, Vera T. can be contacted via phone (617) 421-1380.

Contact Information

Primary practice address
133 Brookline Ave Boston MA 02215-3904
Phone: (617) 421-1380
Fax: (617) 421-2707
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 58278 Massachusetts

Profile Details

NPI number 1750491312
LBN Legal business name Fajtova, Vera T.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Feb 10th, 2021 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1750491312 NPPES
Massachusetts Other 1422326 CIGNA
Massachusetts Other J09594 CIGNA
Massachusetts Other 058278 CIGNA
Massachusetts MEDICAID 3060004 CIGNA
Massachusetts Other 0003047 CIGNA
Massachusetts Other AA39784 CIGNA

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