Fares, George E.

Fares, George E. is an individual health care provider with primary practice located at 100 Wason Ave Suite 200, Springfield MA 01107-1381. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Fares, George E. can be contacted via phone (413) 733-9666.

Contact Information

Primary practice address
100 Wason Ave Suite 200 Springfield MA 01107-1381
Phone: (413) 733-9666
Fax: (413) 750-3432
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 218981 Massachusetts
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 041203 Connecticut

Profile Details

NPI number 1740260843
LBN Legal business name Fares, George E.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 17th, 2006
Last updated Feb 6th, 2015 - about 9 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 1740260843 NPPES
Massachusetts MEDICAID 2108551

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