Provider Demographics
NPI:1144247776
Name:FARO, ALBERT (MD)
Entity type:Individual
Prefix:DR
First Name:ALBERT
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Last Name:FARO
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Gender:M
Credentials:MD
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Mailing Address - Street 1:9910 FRANKLIN SQUARE DR
Mailing Address - Street 2:# 2110
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21236-4902
Mailing Address - Country:US
Mailing Address - Phone:314-454-2694
Mailing Address - Fax:314-454-2515
Practice Address - Street 1:1 CHILDRENS PL
Practice Address - Street 2:STE C
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63110-1002
Practice Address - Country:US
Practice Address - Phone:314-454-2694
Practice Address - Fax:314-454-2515
Is Sole Proprietor?:No
Enumeration Date:2006-07-17
Last Update Date:2017-08-03
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Provider Licenses
StateLicense IDTaxonomies
MDD829712080P0214X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0214XAllopathic & Osteopathic PhysiciansPediatricsPediatric Pulmonology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO937850381Medicaid
IL$$$$$$$$$Medicaid
MO937850381Medicare PIN