Provider Demographics
NPI:1548212558
Name:DAF MEDICAL ASSOCIATES INC
Entity Type:Organization
Organization Name:DAF MEDICAL ASSOCIATES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ALLA
Authorized Official - Middle Name:
Authorized Official - Last Name:FEYGINA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:781-438-4625
Mailing Address - Street 1:55 SHARON ANN LN
Mailing Address - Street 2:
Mailing Address - City:EAST FALMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02536-6034
Mailing Address - Country:US
Mailing Address - Phone:617-549-5669
Mailing Address - Fax:
Practice Address - Street 1:55 SHARON ANN LN
Practice Address - Street 2:
Practice Address - City:EAST FALMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02536-6034
Practice Address - Country:US
Practice Address - Phone:617-549-5669
Practice Address - Fax:617-607-7543
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-17
Last Update Date:2022-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA9733281Medicaid
MAM18786OtherBLUE CROSS GROUP NUMBER
MA9733281Medicaid
MAM18786OtherBLUE CROSS GROUP NUMBER