Individual
FARIS NAWFAL OMAR ALBAKOAA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6900 HAMILTON BLVD, TREXLERTOWN, PA 18087-9101
(610) 402-0101
Mailing address
2100 MACK BLVD FL 4, ALLENTOWN, PA 18103-5622
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD485553
PA
207QG0300X
Geriatric Medicine (Family Medicine) Physician
MT222254
PA
Other
Enumeration date
07/27/2021
Last updated
09/15/2025
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