Foti-Flynn, Debra M

Foti-Flynn, Debra M is an individual health care provider with primary practice located at 9 Hope Ave , Waltham MA 02453-2741. She recently has only one registered license in Allopathic & Osteopathic Physicians / Addiction Medicine, which is considered as her primary health care specialty. Foti-Flynn, Debra M can be contacted via phone (781) 891-8670.

Contact Information

Primary practice address
9 Hope Ave Waltham MA 02453-2741
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Medicine 207RA0401X 131790 Massachusetts

Profile Details

NPI number 1902857063
LBN Legal business name Foti-Flynn, Debra M
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 13th, 2006
Last updated Jan 24th, 2008 - 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 1902857063 NPPES
Massachusetts MEDICAID 0708151

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