Healthcare Provider Details

I. General information

NPI: 1386195881
Provider Name (Legal Business Name): JOSEPH MCFARLAND
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/19/2016
Last Update Date: 04/11/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

925 CHESTNUT ST 5TH FLOOR
PHILADELPHIA PA
19107-4216
US

IV. Provider business mailing address

833 CHESTNUT ST SUITE 1402
PHILADELPHIA PA
19107-4414
US

V. Phone/Fax

Practice location:
  • Phone: 267-339-3500
  • Fax: 215-503-0580
Mailing address:
  • Phone: 267-339-7839
  • Fax: 267-339-3761

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberSP016168
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: