Individual
YACOUB J FAROUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1600 ST LUKES BLVD, EASTON, PA 18045-5671
(484) 503-4600
(484) 503-4679
Mailing address
1600 RIVERSIDE CIR, EASTON, PA 18045-5671
(484) 503-4600
(484) 503-4679
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
21909
WV
207RH0003X
Hematology & Oncology Physician
Primary
MD417049
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001757872
MOUNTAIN STATE BCBS
WV
05
—
3810002655
—
WV
01
—
H46060
CARELINK
WV
01
—
P00233473
RAILROAD MEDICARE
WV
01
—
WV21909
HEALTH PLAN
WV
Enumeration date
09/12/2005
Last updated
04/19/2023
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