Faquin, William C

Faquin, William C is an individual health care provider with primary practice located at 55 Fruit St Wrn 2 Pathology Associates, Boston MA 02114-2621. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cytopathology, Allopathic & Osteopathic Physicians / Anatomic Pathology. Allopathic & Osteopathic Physicians / Cytopathology is his primary health care specialty. Faquin, William C can be contacted via phone (617) 573-3957.

Contact Information

Primary practice address
55 Fruit St Wrn 2 Pathology Associates Boston MA 02114-2621
Fax: (617) 573-3389
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cytopathology 207ZC0500X 156029 Massachusetts
Allopathic & Osteopathic Physicians / Anatomic Pathology 207ZP0101X 156029 Massachusetts

Profile Details

NPI number 1114908043
LBN Legal business name Faquin, William C
Credentials MD PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 8th, 2005
Last updated Jul 8th, 2007 - about 17 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 1114908043 NPPES
Massachusetts Other 791908 TUFTS HEALTH PLAN
Massachusetts MEDICAID 3181821 TUFTS HEALTH PLAN
Massachusetts Other J19184 TUFTS HEALTH PLAN

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