Individual
FAISAL JAMAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
116 NORTHPORT AVE, BELFAST, ME 04915-6095
(207) 505-4080
Mailing address
116 NORTHPORT AVE, BELFAST, ME 04915-6095
(469) 420-0649
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
N7812
TX
207RN0300X
Nephrology Physician
294949
NY
207RN0300X
Nephrology Physician
MD25777
ME
207RN0300X
Nephrology Physician
Primary
N7812
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05303228
—
TX
Enumeration date
05/01/2006
Last updated
03/13/2024
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