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Individual
DR. MARK ROBERT FABER
Active
Individual
DR. MARK ROBERT FABER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
D0080153
MD
208000000X
Pediatrics Physician
MD034612E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012600870007
—
PA
01
—
430213ZAXB
MEDICARE
MD
Enumeration date
11/22/2005
Last updated
10/29/2020
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