Fayek, Mariam

Fayek, Mariam is an individual health care provider with primary practice located at 101 Dudley Street 3Rd Floor, Providence RI 02905. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Gastroenterology is her primary health care specialty. Fayek, Mariam can be contacted via phone (215) 762-5181.

Contact Information

Primary practice address
101 Dudley Street 3Rd Floor Providence RI 02905
Phone: (215) 762-5181
Fax: (215) 762-5176
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 001959988 Pennsylvania
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X MD13013 Rhode Island
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD13013 Rhode Island

Profile Details

NPI number 1316997588
LBN Legal business name Fayek, Mariam
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2006
Last updated Jul 6th, 2009 - about 16 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 1316997588 NPPES
Pennsylvania MEDICAID 001959988

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