Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | MD070120L | PA |
N | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | MD070120L | PA |
NPI | 1477557346 |
---|---|
Provider Name | Daniel Charles Farber |
First Address | Philadelphia, PA 19106 |
Second Address | Philadelphia, PA 19106 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/06/2005 |
Last Update Date | 02/12/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
010622400 | (05) | MD |
1477557346 | NPI (01) | MD |
H64046 | (02) | MD |