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Search › Massachusetts › 390200000X

Omotayo Fasan

NPI 1912852518 · on the registry since 2026

Practice

Address
72 E Concord St
Boston, MA 02118
Phone
(617) 358-7477
Organisation at this address
Boston Medical Center
Boston Medical Center
Boston Medical Center
Boston Medical Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address
127

Additional practice sites

  • 1353 Dorchester Ave, Dorchester, MA

Registry record

Primary taxonomy
390200000X
390200000X
Sex
Female
Record last updated
2026-02-28

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Massachusetts