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NPI Code Detail

MEDICARE: KRISTIN CASTILLO FARIAS M.D.

MEDICARE: KRISTIN CASTILLO FARIAS M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine PhysicianME133787FL
2208000000XPediatrics Physician261528MA
3208000000XPediatrics PhysicianME133787FL
4207R00000XInternal Medicine Physician261528MA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1851658231
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTIN CASTILLO FARIAS M.D.
Provider Business Mailing Address
First Line : 75 FRANCIS ST
Second Line :
City : BOSTON
State : MA
Zip : 02115-6106
Country : US
Telephone Number : 617-983-7025
Fax Number : 857-307-4141
Provider Business Practice Location Address
First Line : 1285 BEACON ST STE 101
Second Line :
City : BROOKLINE
State : MA
Zip : 02446-5237
Country : US
Telephone Number : 617-983-7025
Fax Number : 857-307-4141
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/23/2012
Last Update Date : 10/17/2024

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