# DR. MARY ELIZABETH FAW

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1811922362
- **Gender:** F
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | 20376 | WV | Yes |

## Other

- **Enumeration date:** 07/12/2006
- **Last updated:** 01/21/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 001723914 | BLUE CROSS BLUE SHIELD | WV |
| 01 | — | 001723915 | BLUE CROSS BLUE SHIELD | WV |
| 05 | — | 3005015-000 | — | WV |
| 01 | — | 753146655 | P.E.I.A./ACORDIA | WV |
| 01 | — | 7560573 | AETNA | WV |
| 01 | — | P01050843 | RAILROAD | — |
