Provider Demographics
NPI:1821891284
Name:FIDELE, YANDY FRANTZ
Entity type:Individual
Prefix:
First Name:YANDY
Middle Name:FRANTZ
Last Name:FIDELE
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 CABOT PL
Mailing Address - Street 2:
Mailing Address - City:STOUGHTON
Mailing Address - State:MA
Mailing Address - Zip Code:02072-4624
Mailing Address - Country:US
Mailing Address - Phone:781-287-8708
Mailing Address - Fax:
Practice Address - Street 1:5 CABOT PL
Practice Address - Street 2:
Practice Address - City:STOUGHTON
Practice Address - State:MA
Practice Address - Zip Code:02072-4624
Practice Address - Country:US
Practice Address - Phone:781-287-8708
Practice Address - Fax:781-287-8718
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-31
Last Update Date:2025-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator