Provider Demographics
NPI:1922437938
Name:TEPERMAN, FAINA
Entity Type:Individual
Prefix:
First Name:FAINA
Middle Name:
Last Name:TEPERMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:55 BROADLAWN PARK
Mailing Address - Street 2:16B
Mailing Address - City:CHESTNUT HILL
Mailing Address - State:MA
Mailing Address - Zip Code:02467-3525
Mailing Address - Country:US
Mailing Address - Phone:781-520-9121
Mailing Address - Fax:
Practice Address - Street 1:55 BROADLAWN PARK
Practice Address - Street 2:16B
Practice Address - City:CHESTNUT HILL
Practice Address - State:MA
Practice Address - Zip Code:02467-3525
Practice Address - Country:US
Practice Address - Phone:781-520-9121
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-11
Last Update Date:2013-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health