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NPI Code Detail

MEDICARE: JOANNA RUYUN FARRELL

MEDICARE: JOANNA RUYUN FARRELL
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
1363A00000XPhysician AssistantPA100591MA

General Provider Information

NPI Number : 1477255925
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOANNA RUYUN FARRELL
Provider Business Mailing Address
First Line : 147 S MAIN ST
Second Line :
City : MIDDLETON
State : MA
Zip : 01949-2446
Country : US
Telephone Number : 978-774-2555
Fax Number : 978-774-8715
Provider Business Practice Location Address
First Line : 147 S MAIN ST
Second Line :
City : MIDDLETON
State : MA
Zip : 01949-2446
Country : US
Telephone Number : 978-774-2555
Fax Number : 978-774-8715
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/20/2023
Last Update Date : 12/09/2025

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Directions to “ JOANNA RUYUN FARRELL ” Practice Location

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