Individual
FARAH GULAID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2400 BOSTON STREET, SUITE 106, BALTIMORE, MD 21224
(410) 675-0434
Mailing address
2400 BOSTON ST, STE 106, BALTIMORE, MD 21224-4723
(410) 675-0434
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT002961
GA
152W00000X
Optometrist
TA2484
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
TA2484
MARYLAND LICENSE
MD
Enumeration date
07/27/2015
Last updated
01/26/2024
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