Individual
DR. FATEH BAZERBACHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2696
(617) 724-7168
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
278591
MA
207RG0100X
Gastroenterology Physician
59072
MN
Other
Enumeration date
06/06/2012
Last updated
05/31/2019
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