Provider / Organization | NPI | Date Certified |
---|---|---|
FADY SIDHOM | 1144873944 | 2022-07-07 |
Fady Sidhom is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1144873944. Registration indicates Fady Sidhom is a provider of access to dentists-general services with a specialization in Dental Providers, Dentist (Dental Providers, Dentist) (Dentist, ) (Dental, ) (Dentist, Dental Providers) Access to Dentists-General (Dental Providers, Dentist) (Dental Providers, Dentist) (Dentist: General Practice, ) (Dental, ) (Dentist General Practice, Dental Providers) (Dentist, ) Access to Dentists-General (Dental Providers, Dentist) (Dental Providers, Dentist) (Dentist: General Practice, ) (Dental, ) (Dentist General Practice, Dental Providers) (Dentist, ) Access to Dentists-General (Dental Providers, Dentist) (Dental Providers, Dentist) (Dentist, ) (Dental, ) (Dentist, Dental Providers)
Entity Type | Individual |
Provider Name | Dr. Fady Sidhom DDS |
Practice Office Address | 567 SOUTHBRIDGE ST STE 7 AUBURN, MA US |
Practice Office Telephone | 5083191480 |
Mailing Address | 1 CANAL ST UNIT 621 BOSTON, MA 021142054 US |
Business Telephone | 2019370594 |
Address | City / State | Phone / Fax |
---|---|---|
1950 State Route 27 | North Brunswick, NJ 089021300 | 7328210500 |
Code | Practice | License No State |
---|---|---|
122300000X | Access to Dentists-General Dental Providers Dentist Dental Providers Dentist Dentist Dental Dentist Dental Providers | 22DI02769200
NJ |
1223G0001X | Access to Dentists-General Dental Providers Dentist Dental Providers Dentist Dentist: General Practice Dental Dentist General Practice Dental Providers Dentist | 22DI02769200
NJ |
1223G0001X | Access to Dentists-General Dental Providers Dentist Dental Providers Dentist Dentist: General Practice Dental Dentist General Practice Dental Providers Dentist | DN1859394
MA |
122300000X PRIMARY | Access to Dentists-General Dental Providers Dentist Dental Providers Dentist Dentist Dental Dentist Dental Providers | DN1859394
MA |