Individual
MAEN J. FARHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3333 N CALVERT ST, SUITE 655, BALTIMORE, MD 21218-2867
(410) 321-8720
(410) 321-8723
Mailing address
3333 N CALVERT ST, SUITE 655, BALTIMORE, MD 21218-2867
(410) 321-8720
(410) 321-8723
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
D29771
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
649601601 320401400
—
MD
01
—
CH7837 020025381
RAILROAD MEDICARE
GA
01
—
D29771
STATE LICENSE
MD
01
—
E565 0001
CAREFIRST
DC
01
—
KL92BA 31098504
CAREFIRST
MD
Enumeration date
05/27/2006
Last updated
12/23/2010
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