Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | 44666 | MA |
Y | 208600000X | Surgeon | 44666 | MA |
NPI | 1003812793 |
---|---|
Provider Name | Salwa A. Fam |
First Address | Framingham, MA 01702-6265 |
Second Address | Framingham, MA 01702-6265 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/06/2005 |
Last Update Date | 22/12/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0108553 | (05) | MA |
A36710 | (02) |