Organization
ALBEMARLE GASTROENTEROLOGY ASSOCIATES
Active
Other names
Steven M. Faber MD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN M FABER M.D (PRESIDENT)
(252) 335-5588
Entity
Organization
Contact information
Practice address
405 HASTINGS LN, ELIZABETH CITY, NC 27909-3327
(252) 335-5588
(252) 335-9498
Mailing address
405 HASTINGS LN, ELIZABETH CITY, NC 27909-3327
(252) 335-5588
(252) 335-9498
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
35892
NC
261QE0800X
Endoscopy Clinic/Center
35982
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0131Y
BLUE CROSS GROUP #
NC
01
—
100004991
RR MEDICARE PTAN
NC
01
—
2319928
MCARE PROVIDER NUMBER
NC
01
—
35892
NC LICENSE #
NC
Enumeration date
01/11/2007
Last updated
06/01/2023
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