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Individual

LOUIS E FAZEN III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
835 W CENTRAL ST, FRANKLIN, MA 02038-3188
(508) 541-8000
(580) 541-6749
Mailing address
124 GROVE ST, STE 305, FRANKLIN, MA 02038-3156
(508) 528-5392
(508) 541-2420

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
38987
MA
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
38987
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2068044
MA
Enumeration date
07/08/2006
Last updated
09/11/2025
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