Individual
DR. MARIAM FAYEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
101 DUDLEY STREET, 3RD FLOOR, PROVIDENCE, RI 02905
(215) 762-5181
(215) 762-5176
Mailing address
101 DUDLEY STREET, 3RD FLOOR, PROVIDENCE, RI 02905
(215) 255-7822
(215) 255-7825
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
001959988
PA
207R00000X
Internal Medicine Physician
MD13013
RI
207RG0100X
Gastroenterology Physician
Primary
MD13013
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001959988
—
PA
Enumeration date
05/11/2006
Last updated
07/06/2009
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