Individual
BENJAMIN FAKHARZADEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MM
Contact information
Practice address
242 GREEN ST, GARDNER, MA 01440-1336
(978) 630-6235
Mailing address
2527 CRANBERRY HWY, WAREHAM, MA 02571-1046
(800) 841-5200
(508) 273-1241
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
241602
MA
2085R0202X
Diagnostic Radiology Physician
Primary
273798
MA
Other
Enumeration date
06/20/2009
Last updated
02/14/2018
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