NPI 1376523902 · live from the CMS NPI Registry
Joseph B Fares, MD
Internal Medicine, Gastroenterology in Phoenix, AZ. National Provider Identifier 1376523902, active.
NPI record
| NPI | 1376523902 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine, Gastroenterology 207RG0100X |
| Practice location | 18404 N Tatum Blvd, Suite 101, Phoenix, AZ 85032 |
| Practice phone | 623-580-5390 |
| Mailing address | 2500 W Utopia Rd, Ste. 100, Phoenix, AZ 85027 |
| Enumerated | January 19, 2006 |
| Last updated | September 25, 2013 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine, Gastroenterology primary | 207RG0100X | 25MA06825900 (NJ) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.