Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | DO059793 | MD |
NPI | 1013000546 |
---|---|
Provider Name | David E Farnie |
First Address | Conshohocken, PA 19428 |
Second Address | Baltimore, MD 21237 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/10/2006 |
Last Update Date | 18/01/2008 |