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Search › Massachusetts › 122300000X

Edward Fidrocki, DDS

NPI 1952385742 · on the registry since 2005

Practice

Address
1 Kneeland St
Room 322 A
Boston, MA 02111
Phone
(617) 643-8070
Fax
(617) 643-8122
Organisation at this address
Tufts University
Tufts University
Trustees Of Tufts College
Trustees Of Tufts College
Trustees Of Tufts College
Inferred from a shared address, not stated in the registry.
Clinicians at this address
951

Registry record

Primary taxonomy
122300000X
122300000X
Licence states on file
MA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2015-11-24

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