1053374603 NPI number — DR. MORTEZA MOREY FARIZAN M.D.

Table of content: DR. MORTEZA MOREY FARIZAN M.D. (NPI 1053374603)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1053374603 NPI number — DR. MORTEZA MOREY FARIZAN M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
FARIZAN
Provider First Name:
MORTEZA
Provider Middle Name:
MOREY
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1053374603
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
02/23/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2110 DORCHESTER AVE
Provider Second Line Business Mailing Address:
SETON MEDICAL BUILDING #209
Provider Business Mailing Address City Name:
DORCHESTER CENTER
Provider Business Mailing Address State Name:
MA
Provider Business Mailing Address Postal Code:
02124-5628
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
617-298-0481
Provider Business Mailing Address Fax Number:
617-298-3358

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2110 DORCHESTER AVE
Provider Second Line Business Practice Location Address:
SETON MEDICAL BUILDING #209
Provider Business Practice Location Address City Name:
DORCHESTER CENTER
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
02124-5628
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
617-298-0481
Provider Business Practice Location Address Fax Number:
617-298-3358
Provider Enumeration Date:
04/06/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 208600000X , with the licence number:  039088 , registered in the state of MA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 2086S0129X , with the licence number: 039088 , registered in the state of MA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 2064863 , issued by the state of ( MA ) . This identifiers is of the category "MEDICAID".




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