MEDICARE: DR. MICHAEL A. FARBOWITZ 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	207W00000X	Ophthalmology Physician	25MA07217000	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
2	P2403344	OTHER	NJ	OXFORD
3	439B3	OTHER	NJ	WELLCHOICE
4	2065296000	OTHER	NJ	AMERIHEALTH
5	2K3639	OTHER	NJ	HEALTHNET
6	88880	OTHER	NJ	LOCAL 825
7	P00053889	OTHER	NJ	PALMETTO
8	8217584	OTHER	NJ	GHI

General Provider Information

NPI Number	:	1740276393
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL A. FARBOWITZ M.D.

Provider Business Mailing Address
First Line	:	551 MILLBURN AVE
Second Line	:
City	:	SHORT HILLS
State	:	NJ
Zip	:	07078-3330
Country	:	US
Telephone Number	:	973-379-2544
Fax Number	:	973-379-1317

Provider Business Practice Location Address
First Line	:	551 MILLBURN AVE
Second Line	:
City	:	SHORT HILLS
State	:	NJ
Zip	:	07078-3330
Country	:	US
Telephone Number	:	973-379-2544
Fax Number	:	973-379-1317

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

Provider Enumeration Date	:	09/20/2005
Last Update Date	:	04/15/2010

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

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