Faynzilberg, Simon
Faynzilberg, Simon is an individual health care provider with primary practice located at 157 Winthrop Rd # 2 , Brookline MA 02445-4642. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Faynzilberg, Simon can be contacted via phone (617) 817-2070.Contact Information
Primary practice address
157 Winthrop Rd # 2
Brookline MA 02445-4642
Phone: (617) 817-2070
Fax: (781) 457-1410
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 160820 | Massachusetts |
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | 14220 | New Hampshire |
Profile Details
| NPI number | 1417956418 |
|---|---|
| LBN Legal business name | Faynzilberg, Simon |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 20th, 2005 |
| Last updated | Aug 20th, 2014 - about 10 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 | 1417956418 | NPPES |
| New Hampshire | MEDICAID | 30201347 | |
| New Hampshire | MEDICAID | 435405099 | |
| New Hampshire | MEDICAID | 3200183 |
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