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KHALDOUN FARIS MD

Physicians Anesthesiology

Provider NPI: 1700876844

Provider Information:
 KHALDOUN  FARIS MD
Gender: M
Not Sole Proprietor

Practice Location:
55 LAKE AVE N DEPARTMENT OF ANESTHESIOLOGY WORCESTER, MA 01655-0002 US
Tel: 508-334-3271  Fax: 508-856-5911

Business Mailing Address:
PO BOX 415348  BOSTON, MA 02241-5348 US
Tel: --  Fax: --

NPI Information:
NPI: 1700876844
Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207L00000XPhysicians
Anesthesiology
MA155502
N207LC0200XPhysicians
Anesthesiology
MA155502
N207LP2900XPhysicians
Anesthesiology
MA155502

Other Provider Identifiers:

IssuerNumberStateType
110001675AMA05



American Medical Association 2012 taxonomy code information

Code: 207L00000X

Type:

Classification:



Definition:



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