MEDICARE: DR. KARIM HABIB FARIS D.C., M.S.

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
1	111N00000X	Chiropractor	38MC00693300	NJ

General Provider Information

NPI Number	:	1639516453
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KARIM HABIB FARIS D.C., M.S.

Provider Business Mailing Address
First Line	:	50 W LINDSLEY RD
Second Line	:	UNIT #3
City	:	CEDAR GROVE
State	:	NJ
Zip	:	07009-1053
Country	:	US
Telephone Number	:	973-879-4074
Fax Number	:

Provider Business Practice Location Address
First Line	:	50 W LINDSLEY RD
Second Line	:	UNIT #3
City	:	CEDAR GROVE
State	:	NJ
Zip	:	07009-1053
Country	:	US
Telephone Number	:	973-879-4074
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/03/2013
Last Update Date	:	06/14/2016

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