| NPI | 1326156605 |
|---|---|
| Former Legal Business Name | JABBAR FAZELI MD DBA MAINE GERIATRICS |
| Entity Type | Organization |
| Authorized Contact | JABBAR FAZELI President/Owner 207-780-6565 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine |
| Enumeration Date | 2006-08-28 |
| Last Update Date | 2021-10-15 |