Farooq, Faheem M

Farooq, Faheem M is an sole proprietor health care provider with primary practice located at 100 Medway Road Suite 101, Milford MA 01757-3003. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Farooq, Faheem M can be contacted via phone (508) 773-6288.

Contact Information

Primary practice address
100 Medway Road Suite 101 Milford MA 01757-3003
Fax: (508) 482-5430
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 41365 Massachusetts
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 41365 Massachusetts

Profile Details

NPI number 1891722419
LBN Legal business name Farooq, Faheem M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 27th, 2006
Last updated Dec 15th, 2010 - about 15 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 1891722419 NPPES
Massachusetts MEDICAID 2055821

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