Fantes, Thomas Peter

Fantes, Thomas Peter is an individual health care provider with primary practice located at 150 S Huntington Ave , Boston MA 02130-4817. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Fantes, Thomas Peter can be contacted via phone (857) 364-4418.

Contact Information

Primary practice address
150 S Huntington Ave Boston MA 02130-4817
Phone: (857) 364-4418
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD11072 Rhode Island
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 265658 Massachusetts

Profile Details

NPI number 1972500429
LBN Legal business name Fantes, Thomas Peter
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2005
Last updated Nov 6th, 2020 - 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 1972500429 NPPES
Rhode Island Other 32946-6 BCBS
Rhode Island Other 410381 BCBS

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