MEDICARE: ROSANN FARBER DO

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	207Q00000X	Family Medicine Physician	OS-006205-L	PA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	080097564	OTHER	PA	RR MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0089205000	OTHER	PA	INDEPENDENCE BLUE CROSS
3	P466050	OTHER	PA	OXFORD
4	482050	OTHER	PA	COVENTRY HEALTH AMERICA
5	1075985	OTHER	PA	KMHP
6	5758458	OTHER	PA	AETNA PPO
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8	0544127	OTHER	PA	AETNA HMO
9	174739	OTHER	PA	HIGHMARK BLUE SHIELD

General Provider Information

NPI Number	:	1033193263
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROSANN FARBER DO

Provider Business Mailing Address
First Line	:	PO BOX 820933
Second Line	:
City	:	PHILA
State	:	PA
Zip	:	19182-0933
Country	:	US
Telephone Number	:	215-602-8500
Fax Number	:	215-676-6507

Provider Business Practice Location Address
First Line	:	4259 W SWAMP RD STE 108
Second Line	:
City	:	DOYLESTOWN
State	:	PA
Zip	:	18902-1033
Country	:	US
Telephone Number	:	215-863-8363
Fax Number	:	215-230-3861

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

Provider Enumeration Date	:	12/01/2005
Last Update Date	:	12/08/2017

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Directions to “ ROSANN FARBER DO” Practice Location

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