Individual
NUZHAT FAROOQUI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
242 GREEN ST, GARDNER, MA 01440-1336
(978) 632-3420
Mailing address
50 OAK ST, WESTON, MA 02493-1444
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
58749
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3041921
—
MA
01
—
J14885
BLUECROSS
MA
Enumeration date
09/20/2006
Last updated
07/09/2007
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