Individual
ADHAM FARROUKH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
55 LAKE AVE N, WORCESTER, MA 01655-0002
(508) 856-3271
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
(800) 225-8885
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
1018102
MA
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
1018102
MA
Other
Enumeration date
06/13/2022
Last updated
07/30/2024
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