Fouad, Jan

Fouad, Jan is an individual health care provider with primary practice located at 55 Lake Ave N , Worcester MA 01655-0002. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Sleep Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Fouad, Jan can be contacted via phone (508) 334-1975.

Contact Information

Primary practice address
55 Lake Ave N Worcester MA 01655-0002
Phone: (508) 334-1975
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 1014171 Massachusetts
Allopathic & Osteopathic Physicians / Sleep Medicine 207RS0012X 1014171 Massachusetts
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 1014171 Massachusetts

Profile Details

NPI number 1407202682
LBN Legal business name Fouad, Jan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 6th, 2016
Last updated Apr 23rd, 2024 - about last year

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 1407202682 NPPES
Massachusetts MEDICAID 110115637A

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