MEDICARE: DR. JEFFREY N 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	207N00000X	Dermatology Physician	49904	MA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	070011628	OTHER	MA	INDIVIDUAL RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	J05551	OTHER	MA	BLUE CROSS NUMBER
3	712155	OTHER	MA	TUFTS PROVIDER NUMBER
4	4081	OTHER	MA	HARVARD PILGRIM NUMBER
5	03-00010	OTHER	MA	UNITED HEALTH CARE

General Provider Information

NPI Number	:	1497774962
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JEFFREY N FARBER M.D.

Provider Business Mailing Address
First Line	:	345 COURT ST
Second Line	:	SUITE 201
City	:	PLYMOUTH
State	:	MA
Zip	:	02360-4329
Country	:	US
Telephone Number	:	508-746-5300
Fax Number	:	508-747-2001

Provider Business Practice Location Address
First Line	:	345 COURT ST
Second Line	:	SUITE 201
City	:	PLYMOUTH
State	:	MA
Zip	:	02360-4329
Country	:	US
Telephone Number	:	508-746-5300
Fax Number	:	508-747-2001

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

Provider Enumeration Date	:	07/18/2006
Last Update Date	:	05/05/2008

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Directions to “ DR. JEFFREY N FARBER M.D.” Practice Location

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