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General NPI Number Information
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NPI Number | 1932109535
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Entity Type | Individual
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Provider Name | FOUAD S FAM MD
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Gender | Male
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Dates
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Enumeration Date | 07/26/2005
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Last Update Date | 04/05/2012
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Provider Practice Location Address
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Address Line | 70 EAST ST
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City | METHUEN
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State | MA
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Zip | 01844-4597
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Country | US
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Telephone | 978-687-0151
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Fax |
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Provider Business Mailing Address
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Address Line | 60 EAST ST STE 1400
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City | METHUEN
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State | MA
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Zip | 01844-4500
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Country | US
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Telephone | 978-689-4601
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Fax | 978-689-3096
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 213312
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License Number State | MA
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