Mouchantaf, Fares Georges
Mouchantaf, Fares Georges is an individual health care provider with primary practice located at Lahey Hospital And Medical Center 41 Mall Road, Burlington MA 01805-0001. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Critical Care Medicine. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Mouchantaf, Fares Georges can be contacted via phone (781) 744-8480.Contact Information
Primary practice address
Lahey Hospital And Medical Center 41 Mall Road
Burlington MA 01805-0001
Phone: (781) 744-8480
Fax: (781) 744-3443
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 225515 | Massachusetts |
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 225515 | Massachusetts |
Profile Details
| NPI number | 1255476198 |
|---|---|
| LBN Legal business name | Mouchantaf, Fares Georges |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 20th, 2007 |
| Last updated | Mar 19th, 2019 - about 5 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 | 1255476198 | NPPES |
| Massachusetts | MEDICAID | 110075967A |
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