IndividualActive
Gary Fanjiang, MD
NPI 1982694147 · Pediatric Gastroenterology Physician · Boston, MA
Provider details
- NPI number
- 1982694147
- Entity type
- Individual
- Primary specialty
- Pediatric Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 220677 (MA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
55 Fruit St
Vbk 107
Boston, MA 02114-2621
Phone: (617) 724-2561
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 9142
Charlestown, MA 02129-9142
Registry dates
- Enumerated
- 2005-10-27
- Last updated
- 2008-09-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.