Organization
FAYEZ MIKHAIL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FAYEZ MIKHAIL MD (PROVIDER)
(609) 587-1001
Entity
Organization
Contact information
Practice address
23 MAYFAIR RD, SOUTHAMPTON, NJ 08088-1014
(609) 587-1001
(302) 239-2105
Mailing address
23 MAYFAIR RD, SOUTHAMPTON, NJ 08088-1014
(609) 587-1001
(302) 239-2105
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0212428000
AMERIHEALTH
NJ
01
—
0533633
AETNA
NJ
01
—
0K0104
HEALTHNET
NJ
01
—
1024394
MERCY
NJ
01
—
110027952
RAIL ROAD MEDICARE
NJ
05
—
3594006
—
NJ
01
—
83916
AMERICAID
NJ
01
—
9100008422
AMERICHOICE
NJ
01
—
P421119
OXFORD
NJ
Enumeration date
06/17/2006
Last updated
11/17/2009
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