Individual
FAYEZ MIKHAIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
23 MAYFAIR RD, SOUTHAMPTON, NJ 08088-1014
(609) 587-1001
(609) 587-0227
Mailing address
23 MAYFAIR RD, SOUTHAMPTON, NJ 08088-1014
(609) 587-1001
(609) 587-0227
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MA47865
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0212428000
AMERIHEALTH
NJ
01
—
0533633
US HEALTHCARE
NJ
01
—
0K0104
HEALTHNET
NJ
01
—
1024394
MERCY
NJ
01
—
110027952
RAIL ROAD MEDICARE
NJ
01
—
222873394
TAX ID
NJ
05
—
3594106
—
NJ
01
—
83916
AMERICAID
NJ
01
—
9100008422
AMERICHOICE
NJ
Enumeration date
08/15/2006
Last updated
12/11/2009
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