MEDICARE: FARID FORCE MD

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	2084P0800X	Psychiatry Physician	023417	CT

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	P00292971	OTHER	CT	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P3351307	OTHER	CT	OXFORD HEALTH PLAN
3	79937	OTHER	CT	HEALTH NET

General Provider Information

NPI Number	:	1952318669
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FARID FORCE MD

Provider Business Mailing Address
First Line	:	PO BOX 3638
Second Line	:
City	:	STAMFORD
State	:	CT
Zip	:	06905-0638
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	27 STRAWBERRY HILL CT
Second Line	:
City	:	STAMFORD
State	:	CT
Zip	:	06902-2514
Country	:	US
Telephone Number	:	203-276-7111
Fax Number	:

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

Provider Enumeration Date	:	08/02/2006
Last Update Date	:	08/23/2007

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Directions to “ FARID FORCE MD” Practice Location

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