Doctor Name: | DR. MORTEZA MOREY FARIZAN |
NPI Number: | 1053374603 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 039088 |
Business Practice Address: | 2110 Dorchester Ave Seton Medical Building #209 Dorchester Center, MA - 021245628 |
Business Phone Number: | 6172980481 |
Business Fax Number: | 6172983358 |
Mailing Address: | 2110 Dorchester Ave, Seton Medical Building #209 DORCHESTER CENTER |
State: | MA |
Postal Code: | 021245628 |
Phone Number: | 6172980481 |
Fax Number: | 6172983358 |
NPI Enumeration Date: | 04/06/2006 |
NPI Last Update Date: | 02/23/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2086S0129X |
License Number: | 039088 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Surgery |
Taxonomy Specialization: | Vascular Surgery |
Taxonomy Definition: | A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |