| Dr. Laura Fasciano Llc | |
|
101 Arch St Fl 8 Boston MA 02110-7500 | |
| (203) 530-6979 | |
| Not Available |
| Full Name | Dr. Laura Fasciano Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 101 Arch St Fl 8, Boston, Massachusetts |
| Authorized Official Name and Position | Laura Fasciano (MANAGER) |
| Authorized Official Contact | 2035306979 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Laura Fasciano Llc 505 Congress St Unit 1811 Boston MA 02210-2912 Ph: (203) 530-6979 | Dr. Laura Fasciano Llc 101 Arch St Fl 8 Boston MA 02110-7500 Ph: (203) 530-6979 |
| NPI Number | 1023522927 |
|---|---|
| Provider Enumeration Date | 11/30/2017 |
| Last Update Date | 11/30/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023522927 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 10123 (Massachusetts) | Primary |
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