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Individual
DR. FARES GENNAOUI
Active
Individual
DR. FARES GENNAOUI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085N0904X
Nuclear Radiology Physician
Primary
45027
MA
Other
Enumeration date
06/02/2005
Last updated
04/02/2008
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