Fardi, Manucher

Fardi, Manucher is an individual health care provider with primary practice located at 105 Erdman Way , Leominster MA 01453-1805. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology, which is considered as his primary health care specialty. Fardi, Manucher can be contacted via phone (978) 466-7800.

Contact Information

Primary practice address
105 Erdman Way Leominster MA 01453-1805
Phone: (978) 466-7800
Fax: (978) 466-9333
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology 207ZP0101X 78320 Massachusetts

Profile Details

NPI number 1578552022
LBN Legal business name Fardi, Manucher
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 18th, 2005
Last updated Dec 23rd, 2015 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578552022 NPPES
Massachusetts Other 078320 TUFTS
Massachusetts Other AA8479 TUFTS
Massachusetts Other J17221 TUFTS
Massachusetts MEDICAID 3159531 TUFTS

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