# FARES DIARBAKERLI MD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578832242
- **Authorized official:** DR. FARES DIARBAKERLI M.D. (OWNER)
- **Authorized official phone:** (862) 571-6939

## Contact information

- **Practice address:** 716 BROAD ST, SUITE 2A, CLIFTON, NJ 07013-1645
- **Practice address phone:** (862) 571-6939
- **Practice address fax:** (973) 574-1008
- **Mailing address:** 716 BROAD ST, SUITE 2A, CLIFTON, NJ 07013-1645
- **Mailing address phone:** (862) 571-6939
- **Mailing address fax:** (973) 574-1008

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 25MA08580900 | NJ | Yes |

## Other

- **Enumeration date:** 12/23/2011
- **Last updated:** 11/21/2012