Individual
FARIS MARWAN ALI GHANNAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
400 HIGHLAND AVE STE 1, SALEM, MA 01970-1783
(978) 741-9500
Mailing address
400 HIGHLAND AVE STE 1, SALEM, MA 01970-1783
(978) 741-9500
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
1019129
MA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/07/2021
Last updated
03/04/2026
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