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Individual

FAREED RIYAZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
123 SUMMER ST, WORCESTER, MA 01608-1216
(978) 939-2035
(978) 939-2039
Mailing address
PO BOX 1045, WORCESTER, MA 01613-1045
(978) 939-2035
(978) 939-2039

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
273458
MA
2085R0204X
Vascular & Interventional Radiology Physician
Primary
273458
MA

Other

Enumeration date
05/15/2013
Last updated
08/14/2021
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