Individual
MANUEL FANARJIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1400 VFW PKWY, BOSTON, MA 02132-4927
(617) 323-7700
Mailing address
67 WALNUT ST UNIT 2, NEWTON, MA 02460-1306
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD467965
PA
208D00000X
General Practice Physician
MD467965
PA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
05/11/2017
Last updated
05/04/2023
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