MEDICARE: DR. MICHAEL A. FARBER 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	207R00000X	Internal Medicine Physician	MA05167000	NJ
2	207RG0100X	Gastroenterology Physician	MA05167000	NJ
3	207RG0100X	Gastroenterology Physician	MD430225	PA
4	207RG0100X	Gastroenterology Physician	25MA05167000	NJ

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	:	1154301679
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL A. FARBER M.D.

Provider Business Mailing Address
First Line	:	1 MEDICAL CENTER BLVD
Second Line	:	ACP # 231
City	:	CHESTER
State	:	PA
Zip	:	19013-3902
Country	:	US
Telephone Number	:	610-619-7475
Fax Number	:	610-619-7477

Provider Business Practice Location Address
First Line	:	1 MEDICAL CENTER BLVD
Second Line	:	ACP 231
City	:	CHESTER
State	:	PA
Zip	:	19013-3902
Country	:	US
Telephone Number	:	610-619-7475
Fax Number	:	610-619-7477

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

Provider Enumeration Date	:	01/19/2006
Last Update Date	:	08/26/2024

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Directions to “ DR. MICHAEL A. FARBER M.D.” Practice Location

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