Faldetta, Thomas J
Faldetta, Thomas J is an individual health care provider with primary practice located at 291 Independence Dr Internal Medicine, Chestnut Hill MA 02467-3628. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Faldetta, Thomas J can be contacted via phone (617) 541-6505.Contact Information
Primary practice address
291 Independence Dr Internal Medicine
Chestnut Hill MA 02467-3628
Phone: (617) 541-6505
Fax: (617) 541-6444
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 55036 | Massachusetts |
Profile Details
| NPI number | 1740254465 |
|---|---|
| LBN Legal business name | Faldetta, Thomas J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 17th, 2006 |
| Last updated | Jun 27th, 2011 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1740254465 | NPPES |
| Massachusetts | MEDICAID | 3062228 | |
| Massachusetts | Other | 055036 | |
| Massachusetts | Other | J09777 | |
| Massachusetts | Other | PM443 |
Popular Providers
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Greenspan, Harold Z
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