Foti, Mary Ellen Grace
Foti, Mary Ellen Grace is an sole proprietor health care provider with primary practice located at 25 Staniford St Clinical And Professional Services, Boston MA 02114-2503. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Forensic Psychiatry, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Forensic Psychiatry is her primary health care specialty. Foti, Mary Ellen Grace can be contacted via phone (617) 626-8116.Contact Information
Primary practice address
25 Staniford St Clinical And Professional Services
Boston MA 02114-2503
Phone: (617) 626-8116
Fax: (617) 626-8225
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Forensic Psychiatry | 2084F0202X | 54163 | Massachusetts |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 54163 | Massachusetts |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | ME 60283 | Florida |
Profile Details
| NPI number | 1972657021 |
|---|---|
| LBN Legal business name | Foti, Mary Ellen Grace |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 23rd, 2007 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972657021 | NPPES |
| Massachusetts | Other | J05992 | BCBS |
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