Male or Other

Jamal Fawaz MD

Psychiatry Physician in Hagerstown, MD(View on Map)

Full Name

Jamal Fawaz MD

NPI Number

1003881335

NPI Type

Individual Provider

Gender

Male

Enumeration Date

02/21/2006

Specialties

(Taxonomies)

Code

2084P0800X

Primary Taxonomy

Yes

Licenses

State

Maryland

License Number

47955

Contact
Information

Purpose

Mailing
Location

Address

13121 BROOK LANE
13215 BROOK LANE

City

Hagerstown
Hagerstown

State

MD
MD

Postal Code

21742-1435
21742-1435

Country

US
US

Telephone Number

(301) 733-0331
(301) 733-0331

Identifiers

Identifier

723510100

Identifier State

MD

Identifier Issuer

Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 02/15/2018

Provider Address

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