Provider Demographics
NPI:1184923922
Name:FANTES, FRANCISCO EDUARDO JR (MD)
Entity type:Individual
Prefix:DR
First Name:FRANCISCO
Middle Name:EDUARDO
Last Name:FANTES
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:1340 BOYLSTON STREET
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02215
Mailing Address - Country:US
Mailing Address - Phone:857-313-6640
Mailing Address - Fax:617-267-3667
Practice Address - Street 1:1340 BOYLSTON STREET
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02215
Practice Address - Country:US
Practice Address - Phone:857-313-6640
Practice Address - Fax:617-267-3667
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-18
Last Update Date:2018-09-12
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Provider Licenses
StateLicense IDTaxonomies
MA2745212084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry