Individual
FAKHREDDIN ENTEZARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
289 PLEASANT ST., STE 101, FALL RIVER, MA 02721-3005
(508) 676-3292
Mailing address
289 PLEASANT ST., STE 101, FALL RIVER, MA 02721-3005
(508) 676-3292
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
34103
MA
2085R0202X
Diagnostic Radiology Physician
MD04275
RI
Other
Enumeration date
01/27/2006
Last updated
11/19/2015
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