Individual
DR. MARK A FARUQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
174 BOLICK LN, SUITE 202, TAYLORSVILLE, NC 28681-3319
(828) 495-8226
(828) 495-4191
Mailing address
1701 WESTCHESTER DR, SUITE 850, HIGH POINT, NC 27262-7008
(336) 802-2536
(336) 802-2534
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
33651
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
348918A
—
NC
05
—
8931374
—
NC
Enumeration date
03/29/2007
Last updated
06/07/2013
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