Individual
FARAMARZ FANAIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1304 RHAWN ST, PHILADELPHIA, PA 19111-2870
(215) 742-1225
(215) 742-3338
Mailing address
1304 RHAWN ST, PHILADELPHIA, PA 19111-2870
(215) 742-1225
(215) 742-3338
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
SC006978
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/18/2015
Last updated
08/14/2019
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