Individual provider · Type 1 NPI

Nina Mary Josephine Fassnacht, MD

Student in an Organized Health Care Education/Training Program · Boston, MA

NPI number 1124829387 Active

Practice location

55 Fruit St
Boston, MA 02114-2621

Call (617) 726-2000 Map

Mailing address

51 Tanglewood Trl
Duxbury, MA 02332-2910

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1124829387

Nina Mary Josephine Fassnacht, MD's National Provider Identifier is 1124829387, issued on Mar 24, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Boston, MA. The record was last updated on Mar 24, 2025.