GARY FANJIANG MD NPI 1982694147

NPI Information

NPI: 1982694147
Provider Name: GARY FANJIANG, MD
Classification: Pediatrics - 2080P0206X
Entity Type: Individual

Specialization: Pediatric Gastroenterology

Address:
55 FRUIT ST
VBK 107
BOSTON, MA
ZIP 02114
Phone: (617) 724-2561
Get Directions

Gary Fanjiang, MD is a pediatric gastroenterology pediatrics in Boston, MA. The provider is a pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs. Gary Fanjiang, MD NPI is 1982694147. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

55 FRUIT ST
VBK 107
BOSTON, MA
ZIP 02114-621
Phone: (617) 724-2561

The enumeration date for this NPI number is 10/27/2005 and was last updated on 9/3/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2080P0206X	Pediatrics	Pediatric Gastroenterology	220677	MASSACHUSETTS	No
2	208000000X	Pediatrics		220677	MASSACHUSETTS	No
3	2080P0206X	Pediatrics	Pediatric Gastroenterology	C10008372	DELAWARE	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	4141563	MEDICAID	MARYLAND
2	102104221	MEDICAID	PENNSYLVANIA
3	0152188	MEDICAID	NEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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