Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0204X | Pediatric Emergency Doctor | 150424 | MA |
NPI | 1194716332 |
---|---|
Provider Name | Karen S Farbman |
First Address | Needham, MA 02492-3021 |
Second Address | Norwood, MA 02062-3487 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/11/2005 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
3155943 | (05) | MA |
G39250 | (02) | MA |