# M. MOREY FARIZAN, M.D., P.C.

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

## Provider details

- **NPI number:** 1922100064
- **Authorized official:** DR. M MOREY FARIZAN (PRESIDENT)
- **Authorized official phone:** (617) 298-0481

## Contact information

- **Practice address:** 2110 DORCHESTER AVE, \#209, DORCHESTER CENTER, MA 02124-5628
- **Practice address phone:** (617) 298-0481
- **Practice address fax:** (617) 298-3358
- **Mailing address:** 2110 DORCHESTER AVE, \#209, DORCHESTER CENTER, MA 02124-5628
- **Mailing address phone:** (617) 298-0481
- **Mailing address fax:** (617) 298-3358

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | — | NULL | Yes |
| 2086S0129X | Vascular Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/01/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 2064863 | — | MA |