Organization
WASIM FAKHAR, MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WASIM FAKHAR M.D. (DOCTOR)
(410) 756-2121
Entity
Organization
Contact information
Practice address
417 E BALTIMORE ST, SUITE D, TANEYTOWN, MD 21787-2300
(410) 756-2121
(410) 756-2830
Mailing address
417 E BALTIMORE ST, SUITE D, TANEYTOWN, MD 21787-2300
(410) 756-2121
(410) 756-2830
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
D0054580
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
827102000
—
MD
Enumeration date
11/29/2010
Last updated
11/29/2010
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