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Individual

DR. CHARLES SIDNEY FABER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
7286 BELLEISLE GLN, LAKEWOOD RANCH, FL 34202-5696
(401) 692-0449
Mailing address
7286 BELLEISLE GLN, LAKEWOOD RANCH, FL 34202-5696
(401) 692-0449
(833) 895-2007

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
DO00300
RI
207Y00000X
Otolaryngology Physician
Primary
OS13972
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0000002640
BLUESHIELD OF RI
RI
01
000744
BLUECHIP
RI
01
1000102
UNITED HEALTH CARE
RI
01
1948
NEIGHBORHOOD HEALTH PLAN
RI
01
441042399
RAILROAD MEDICARE
RI
01
731164
TUFTS HEALTH PLAN
RI
05
CF11596
RI
Enumeration date
01/16/2007
Last updated
10/14/2025
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