MEDICARE: PATRICK JAMES FARREN DMD

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	1223S0112X	Oral and Maxillofacial Surgery (Dentist)	15595	MA

General Provider Information

NPI Number	:	1427129733
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PATRICK JAMES FARREN DMD

Provider Business Mailing Address
First Line	:	81 HAWTHORN ST
Second Line	:
City	:	NEW BEDFORD
State	:	MA
Zip	:	02740-3429
Country	:	US
Telephone Number	:	508-992-3737
Fax Number	:

Provider Business Practice Location Address
First Line	:	81 HAWTHORN ST
Second Line	:
City	:	NEW BEDFORD
State	:	MA
Zip	:	02740-3429
Country	:	US
Telephone Number	:	508-992-3737
Fax Number	:

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

Provider Enumeration Date	:	11/10/2006
Last Update Date	:	07/08/2007

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Directions to “ PATRICK JAMES FARREN DMD” Practice Location

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