Individual
MARIA FAKADEJ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
11618 US HIGHWAY 70 W, SUITE 200, CLAYTON, NC 27520-2275
(919) 550-6133
(919) 550-1802
Mailing address
4117 N ROXBORO ST, DURHAM, NC 27704-2121
(919) 684-8111
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2000-00052
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
891251L
—
NC
Enumeration date
11/29/2006
Last updated
10/12/2013
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