Individual
ALI FARZAN JON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
219 S WASHINGTON ST, EASTON, MD 21601
(410) 822-1000
Mailing address
900 ELKRIDGE LANDING RD FL 2, LINTHICUM, MD 21090-2924
(443) 462-5010
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
0101287086
VA
2085R0202X
Diagnostic Radiology Physician
284683
MA
2085R0202X
Diagnostic Radiology Physician
D0102249
MD
2085R0204X
Vascular & Interventional Radiology Physician
0101287086
VA
2085R0204X
Vascular & Interventional Radiology Physician
284683
MA
2085R0204X
Vascular & Interventional Radiology Physician
Primary
D0102249
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110164790A
—
MA
05
—
3129538
—
NH
Enumeration date
05/19/2014
Last updated
05/08/2026
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