Individual
JOSEPH B FARES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
25MA06825900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100919
—
AZ
01
—
2Z3840
HEALTHNET
AZ
01
—
7272302
AETNA
AZ
01
—
AZ042595910
BLUE CROSS BLUE SHIELD
AZ
01
—
ZP00349542
MEDICARE RAILROAD
AZ
Enumeration date
01/19/2006
Last updated
09/25/2013
Update your record
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