Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 02132 | MD |
N | 111NR0200X | Radiology | 02132 | MD |
N | 213ER0200X | Radiology | 02132 | MD |
NPI | 1255485504 |
---|---|
Provider Name | Dr. Patrick J Farrell |
First Address | New Market, MD 21774 |
Second Address | New Market, MD 21774 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/01/2007 |
Last Update Date | 14/01/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
U82047 | (02) |