Individual provider · Type 1 NPI

Madison R. Fertig, MA

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

NPI number 1174467526 Active

Practice location

55 Fruit St
Boston, MA 02114-2696

Call (617) 726-4178 Map

Mailing address

29 Mount Hood Rd Apt 2
Boston, MA 02135-7328

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 1174467526

Madison R. Fertig, MA's National Provider Identifier is 1174467526, issued on Apr 16, 2026. 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 Apr 16, 2026.