Individual
DR. GREGORY FAUGHNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5301 W GENESEE ST, CAMILLUS, NY 13031-2260
(315) 833-9900
(315) 833-9998
Mailing address
301 PROSPECT AVE, SYRACUSE, NY 13203-1807
(315) 744-1819
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
308660
NY
207VX0000X
Obstetrics Physician
308660
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/17/2018
Last updated
09/06/2022
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