Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 204E00000X | Oral & Maxillofacial Surgeon | 016.0133894 | VT |
N | 204E00000X | Oral & Maxillofacial Surgeon | 04481 | NH |
Y | 204E00000X | Oral & Maxillofacial Surgeon | DN1858223 | MA |
NPI | 1174968549 |
---|---|
Provider Name | Dr. Benjamin H. Farr |
First Address | Nashua, NH 03060 |
Second Address | Nashua, NH 03060 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/04/2013 |
Last Update Date | 07/02/2022 |