Faison, John D

Faison, John D is an individual health care provider with primary practice located at 7253 Ambassador Rd , Baltimore MD 21244-2710. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Faison, John D can be contacted via phone (443) 436-1151.

Contact Information

Primary practice address
7253 Ambassador Rd Baltimore MD 21244-2710
Fax: (443) 436-1256
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X D0038531 Maryland
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X D0038531 Maryland

Profile Details

NPI number 1457387375
LBN Legal business name Faison, John D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2006
Last updated Jan 2nd, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457387375 NPPES
Maryland MEDICAID 530851800

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