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NPI Code Detail

MEDICARE: KIT M FARR M.D.

MEDICARE: KIT M FARR 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
1207RC0000XCardiovascular Disease Physician78001MA

General Provider Information

NPI Number : 1598790685
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIT M FARR M.D.
Provider Business Mailing Address
First Line : 1450 HIGHLAND AVE
Second Line : 2ND FLOOR
City : NEEDHAM
State : MA
Zip : 02492-2690
Country : US
Telephone Number : 781-449-6742
Fax Number :
Provider Business Practice Location Address
First Line : 1450 HIGHLAND AVE
Second Line : 2ND FLOOR
City : NEEDHAM
State : MA
Zip : 02492-2690
Country : US
Telephone Number : 781-449-6742
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/11/2006
Last Update Date : 09/25/2012

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