Individual provider · Type 1 NPI

Sofia Von Fedak, DO

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

NPI number 1649063579 Active

Practice location

41 Mall Rd
Burlington, MA 01805-0001

Mailing address

57 Lincoln Rd
Sharon, MA 02067-1543

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X3019441 (MA)

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 1649063579

Sofia Von Fedak, DO's National Provider Identifier is 1649063579, issued on May 23, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Burlington, MA. The record was last updated on May 23, 2025.