Individual
CLIFFORD FABER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5401 OLD COURT RD, RANDALLSTOWN, MD 21133-5103
(410) 496-8715
Mailing address
20 COACHMONT CT, BALTIMORE, MD 21209-1079
(443) 386-2679
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
D0024970
MD
Other
Enumeration date
09/01/2006
Last updated
07/08/2007
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