Organization
FATHYEH FARNAZ MARVASTI, M.D.
Active
Other names
Billerica Family Physicians
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FATHYEH FARNAZ MARVASTI M.D. (OWNER)
(978) 663-8889
Entity
Organization
Contact information
Practice address
660 BOSTON RD, BILLERICA, MA 01821-5318
(978) 663-8889
(978) 663-7542
Mailing address
660 BOSTON RD, BILLERICA, MA 01821-5318
(978) 663-8889
(978) 663-7542
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
81691
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3147274
—
MA
Enumeration date
02/23/2007
Last updated
08/22/2020
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