Healthcare Provider Details

I. General information

NPI: 1023007184
Provider Name (Legal Business Name): MARSHA KAY FEARING MD, MPH, MMSC.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MARSHA FEARING BROWNING M.D., MPH, MMSC.

II. Dates (important events)

Enumeration Date: 10/20/2005
Last Update Date: 02/07/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 SOUTH ST STE 102
SOUTHBRIDGE MA
01550-4051
US

IV. Provider business mailing address

PO BOX 40
SOUTHBRIDGE MA
01550-0040
US

V. Phone/Fax

Practice location:
  • Phone: 508-765-7860
  • Fax: 508-765-7861
Mailing address:
  • Phone: 508-909-7799
  • Fax: 508-764-2432

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207SG0201X
TaxonomyClinical Genetics (M.D.) Physician
License Number214020
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code207SG0202X
TaxonomyClinical Biochemical Genetics Physician
License Number214020
License Number StateMA
# 3
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number214020
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: