Individual
MARYAM FAROOQ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
605 N BETHLEHEM PIKE, LOWER GWYNEDD, PA 19002-2501
(215) 643-2119
(215) 643-3568
Mailing address
2500 MARYLAND RD STE 400, WILLOW GROVE, PA 19090-1225
(215) 481-4143
(215) 481-6790
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
OS019656
PA
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
OS019656
PA
208M00000X
Hospitalist Physician
Primary
OS019656
PA
Other
Enumeration date
06/22/2015
Last updated
12/06/2019
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