Provider Demographics
NPI:1649443342
Name:FARJI, ARIE (MD)
Entity type:Individual
Prefix:DR
First Name:ARIE
Middle Name:
Last Name:FARJI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:ARIE
Other - Middle Name:
Other - Last Name:FARJI-CISNEROS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:42 8TH ST APT 1106
Mailing Address - Street 2:
Mailing Address - City:CHARLESTOWN
Mailing Address - State:MA
Mailing Address - Zip Code:02129-4215
Mailing Address - Country:US
Mailing Address - Phone:617-519-9424
Mailing Address - Fax:
Practice Address - Street 1:736 CAMBRIDGE ST
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02135-2907
Practice Address - Country:US
Practice Address - Phone:617-789-3000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-04-02
Last Update Date:2017-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA245280207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology