Individual
NICHOLAS FABEROWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
751 S BASCOM AVE, SAN JOSE, CA 95128-2604
(408) 885-5000
Mailing address
751 S BASCOM AVE, SAN JOSE, CA 95128-2604
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
44086
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
68800878
—
CO
Enumeration date
07/26/2006
Last updated
04/29/2022
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