Healthcare Provider Details

I. General information

NPI: 1457611949
Provider Name (Legal Business Name): FNU UMAIR M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/18/2012
Last Update Date: 06/11/2020
Certification Date: 06/11/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 WASHINGTON ST
BOXFORD MA
01921-1017
US

IV. Provider business mailing address

35 UNITED DR STE 102
WEST BRIDGEWATER MA
02379-1056
US

V. Phone/Fax

Practice location:
  • Phone: 978-296-3781
  • Fax:
Mailing address:
  • Phone: 508-238-8646
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number07725351
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number269681
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: