MEDICARE: MR. GEORGE ALLAN FARBER SR. M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207ND0900X	Dermatopathology Physician	8634	LA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1073625505
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. GEORGE ALLAN FARBER SR. M.D.

Provider Business Mailing Address
First Line	:	3705 FLORIDA AVE
Second Line	:
City	:	KENNER
State	:	LA
Zip	:	70065-3031
Country	:	US
Telephone Number	:	504-471-3100
Fax Number	:	504-471-3109

Provider Business Practice Location Address
First Line	:	3705 FLORIDA AVE
Second Line	:
City	:	KENNER
State	:	LA
Zip	:	70065-3031
Country	:	US
Telephone Number	:	504-471-3100
Fax Number	:	504-471-3109

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/31/2006
Last Update Date	:	01/18/2026

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Directions to “ MR. GEORGE ALLAN FARBER SR. M.D.” Practice Location

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