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Individual
MANUCHER FARDI
Active
Individual
MANUCHER FARDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
78320
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
078320
TUFTS
MA
05
—
3159531
—
MA
01
—
AA8479
HPHC
MA
01
—
J17221
BCBS
MA
Enumeration date
10/18/2005
Last updated
12/23/2015
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