Individual
FAAZIL KASSAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
51 STATE RD, DARTMOUTH, MA 02747
(508) 994-1900
Mailing address
978 WORCESTER ST UNIT 408, WELLESLEY, MA 02482-3709
(929) 309-6984
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
274282
MA
Other
Enumeration date
03/02/2018
Last updated
07/08/2018
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