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Individual

REZA FAZEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D., M.SC.

Contact information

Practice address
70 FRANCIS ST, SH-5, BOSTON, MA 02115-6134
(857) 307-1979
(857) 307-1955
Mailing address
185 PILGRIM RD, BOSTON, MA 02215-5324
(404) 310-9722
(888) 959-5133

Taxonomy

Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
0101260377
VA
207RI0011X
Interventional Cardiology Physician
Primary
258103
MA
207RI0011X
Interventional Cardiology Physician
MD2015-0931
NM

Other

Enumeration date
09/25/2006
Last updated
03/28/2022
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