Farag, Maryam

Farag, Maryam is an sole proprietor health care provider with primary practice located at 41 Preble Pl , Rutherford NJ 07070-2610. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Dental Providers / Oral and Maxillofacial Surgery. Dental Providers / Oral and Maxillofacial Surgery is her primary health care specialty. Farag, Maryam can be contacted via phone (201) 316-5423.

Contact Information

Primary practice address
41 Preble Pl Rutherford NJ 07070-2610
Phone: (201) 316-5423
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 0238832 New York

Profile Details

NPI number 1295076255
LBN Legal business name Farag, Maryam
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 14th, 2013
Last updated Dec 2nd, 2020 - about 4 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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