Fawaz, Jamal

Fawaz, Jamal is an individual health care provider with primary practice located at 13215 Brook Lane , Hagerstown MD 21742-1435. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Fawaz, Jamal can be contacted via phone (301) 733-0331.

Contact Information

Primary practice address
13215 Brook Lane Hagerstown MD 21742-1435
Fax: (301) 733-4038
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 47955 Maryland

Profile Details

NPI number 1003881335
LBN Legal business name Fawaz, Jamal
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 21st, 2006
Last updated Feb 15th, 2018 - about 7 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 1003881335 NPPES
Maryland MEDICAID 723510100

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