Fazzary, Marie

Fazzary, Marie is an individual health care provider with primary practice located at 101 Riverfront Blvd Ste 700 , Bradenton FL 34205-8823. She recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as her primary health care specialty. Fazzary, Marie can be contacted via phone (941) 748-2417.

Contact Information

Primary practice address
101 Riverfront Blvd Ste 700 Bradenton FL 34205-8823
Phone: (941) 748-2417
Fax: (941) 748-3694
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X ME0064513 Florida

Profile Details

NPI number 1861481475
LBN Legal business name Fazzary, Marie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2005
Last updated Oct 8th, 2018 - about 7 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 1861481475 NPPES
Other 110078702 RAILROAD MEDICARE
Other 5339083 RAILROAD MEDICARE
Other 23540 RAILROAD MEDICARE
Other 6956161004 RAILROAD MEDICARE
Other 968688 RAILROAD MEDICARE
Other 29-05295 RAILROAD MEDICARE

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