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NPI Code Detail

MEDICARE: FARAH ALSHAMMARY DO

MEDICARE: FARAH ALSHAMMARY DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician25MB12415200NJ

General Provider Information

NPI Number : 1558941260
Entity Type Code : Individual
Provider Name (Legal Business Name) : FARAH ALSHAMMARY DO
Provider Business Mailing Address
First Line : 650 UNION BLVD STE 16
Second Line :
City : TOTOWA
State : NJ
Zip : 07512-2422
Country : US
Telephone Number : 973-938-5200
Fax Number : 973-938-5191
Provider Business Practice Location Address
First Line : 650 UNION BLVD STE 16
Second Line :
City : TOTOWA
State : NJ
Zip : 07512-2422
Country : US
Telephone Number : 973-938-5200
Fax Number : 973-938-5191
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/08/2021
Last Update Date : 12/09/2024

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Directions to “ FARAH ALSHAMMARY DO” Practice Location

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