Organization
BETHLEHEM FAMILY PRACTICE, PA
Active
Other names
Mark A. Faruque MD PA
Organization subpart
No
Provider details
NPI number
Authorized official
MARK A FARUQUE MD (PHYSICIAN OWNER)
(828) 495-8226
Entity
Organization
Contact information
Practice address
174 BOLICK LN, SUITE 202, TAYLORSVILLE, NC 28681-3319
(828) 495-8226
(828) 495-4191
Mailing address
PO BOX 6306, BETHLEHEM STATION, HICKORY, NC 28603-6403
(828) 495-8226
(828) 495-4191
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
33651
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0238U
BCBS
NC
05
—
348918A
—
NC
05
—
348918C
—
NC
Enumeration date
01/04/2006
Last updated
01/14/2010
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