Organization
MAINE GERIATRICS
Active
Other names
Jabbar Fazeli MD DBA Maine Geriatrics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JABBAR FAZELI MD (PRESIDENT/OWNER)
(207) 780-6565
Entity
Organization
Contact information
Practice address
22 W COLE RD STE 101, BIDDEFORD, ME 04005-9431
(207) 780-6565
(207) 878-6565
Mailing address
22 W COLE RD STE 101, BIDDEFORD, ME 04005-9431
(207) 780-6565
(207) 878-6565
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
227900000
—
ME
Enumeration date
08/28/2006
Last updated
10/15/2021
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