Individual
DR. MORTEZA MOREY FARIZAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2110 DORCHESTER AVE, SETON MEDICAL BUILDING #209, DORCHESTER CENTER, MA 02124-5628
(617) 298-0481
(617) 298-3358
Mailing address
2110 DORCHESTER AVE, SETON MEDICAL BUILDING #209, DORCHESTER CENTER, MA 02124-5628
(617) 298-0481
(617) 298-3358
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
039088
MA
2086S0129X
Vascular Surgery Physician
039088
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2064863
—
MA
Enumeration date
04/06/2006
Last updated
02/23/2016
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