Individual
DAVID FARZAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
25 MARSTON ST, 3RD FL, LAWRENCE, MA 01841-2310
(978) 688-3100
(978) 557-8633
Mailing address
25 MARSTON ST, 3RD FL, LAWRENCE, MA 01841-2310
(978) 688-3100
(978) 557-8633
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
74355
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0016298
NEIGHBORHOOD HEALTH PLAN
—
01
—
01-00557
EVERCARE
—
01
—
074355
TUFTS HEALTH PLAN
MA
01
—
080165006
RAILROAD MEDICARE
—
01
—
30008989
NH MEDICAID
NH
05
—
3086054
—
MA
01
—
4221511
CIGNA HEALTHCARE
—
01
—
70293
HARVARD PILGRIM HEALTH CA
MA
01
—
91532
HEALTHSOURCE
—
01
—
975494
NETWORK HEALTH
—
01
—
E91732
ANTHEM BLUE CROSS
NH
01
—
J11639
BLUE CROSS BLUE SHIELD
MA
Enumeration date
06/09/2005
Last updated
02/11/2011
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