Individual
FEHAM TARIQ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
355 GRAND ST, JERSEY CITY, NJ 07302-4321
(201) 915-2431
Mailing address
320 HOSPITAL DR, MARTINSVILLE, VA 24112-1900
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101279065
VA
Other
Enumeration date
04/09/2019
Last updated
08/01/2024
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