Organization
ENT AND ALLERGY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES S FABER DO (OWNER AND PROVIDER)
(401) 785-0976
Entity
Organization
Contact information
Practice address
3520 POST RD, WARWICK, RI 02886-7140
(401) 921-5800
(401) 921-2891
Mailing address
3520 POST RD, WARWICK, RI 02886-7140
(401) 921-5800
(401) 921-2891
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000002640
BLUESHIELD
RI
05
—
9002640
—
RI
Enumeration date
01/05/2007
Last updated
07/21/2022
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