MEDICARE: JEROME FARTHING

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	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1922864065
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JEROME FARTHING

Provider Business Mailing Address
First Line	:	406 S BRADFORD ST
Second Line	:
City	:	ALLENTOWN
State	:	PA
Zip	:	18109-2712
Country	:	US
Telephone Number	:	484-505-6003
Fax Number	:

Provider Business Practice Location Address
First Line	:	6 KILMER RD STE B
Second Line	:
City	:	EDISON
State	:	NJ
Zip	:	08817-2432
Country	:	US
Telephone Number	:	484-505-6003
Fax Number	:

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

Provider Enumeration Date	:	02/26/2024
Last Update Date	:	02/26/2024

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Directions to “ JEROME FARTHING ” Practice Location

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