National Provider Identifier Database

GARY FANJIANG, MD – NPI #1982694147
Pediatric Gastroenterology

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.


Contact Information

GARY FANJIANG, MD
55 FRUIT ST
VBK 107
BOSTON, MA02114-2621
Phone: 617-724-2561
Fax:
Website:
Specialty Taxonomy Code
* Pediatric Gastroenterology 2080P0206X
Pediatrics 208000000X

* Indicates primary specialty

NPI Profile & details for GARY FANJIANG

NPI Number 1982694147
Credentials MD
Entity Individual
Enumeration date 10/27/2005
Last updated 09/03/2008 - About 18 years ago
Sole proprietor1 No
Identifiers
  • DE License #: C10008372
  • MA License #: 220677
  • MD Medicaid: 4141563
  • NJ Medicaid: 0152188
  • PA Medicaid: 102104221
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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