1053499327 NPI number — BARRY L. FARBER MD

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1053499327 NPI number — BARRY L. FARBER MD

Employer Identification Number (EIN):

Provider Organization Name:

Provider Last Name:

FARBER

Provider First Name:

BARRY

Provider Middle Name:

L.

Provider Name Prefix Text:

Provider Name Suffix Text:

Provider Credential Text:

MD

Provider Gender Code:

M

Provider Other Organization Name:

Provider Other Organization Name Type Code:

Provider Other Last Name:

Provider Other First Name:

Provider Other Middle Name:

Provider Other Name Prefix Text:

Provider Other Name Suffix Text:

Provider Other Credential Text:

Provider Other Last Name Type Code:

NPI Number:

1053499327

Entity Type Code:

Individual

Replacement NPI:

Last Update Date:

11/03/2009

NPI Deactivation Reason Code:

NPI Deactivation Date:

NPI Reactivation Date:

Provider First Line Business Mailing Address:

39 SHEERMAN LN

Provider Second Line Business Mailing Address:

Provider Business Mailing Address City Name:

AMHERST

Provider Business Mailing Address State Name:

MA

Provider Business Mailing Address Postal Code:

01002-1543

Provider Business Mailing Address Country Code:

US

Provider Business Mailing Address Telephone Number:

413-256-8700

Provider Business Mailing Address Fax Number:

413-256-8711

Provider First Line Business Practice Location Address:

34 MAIN ST

Provider Second Line Business Practice Location Address:

UNIT 8

Provider Business Practice Location Address City Name:

AMHERST

Provider Business Practice Location Address State Name:

MA

Provider Business Practice Location Address Postal Code:

01002-2356

Provider Business Practice Location Address Country Code:

US

Provider Business Practice Location Address Telephone Number:

413-256-8700

Provider Business Practice Location Address Fax Number:

413-256-8711

Provider Enumeration Date:

11/02/2006

Authorized Official Last Name:

Authorized Official First Name:

Authorized Official Middle Name:

Authorized Official Title or Position:

Authorized Official Telephone Number:

• Taxonomy code: 2084P0800X , with the licence number:  48981 , registered in the state of MA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

• Identifier: 1053499327 . This is a "NATIONAL PREFERRED PROVIDER NETWORK" identifier . This identifiers is of the category "OTHER".
• Identifier: 1053499327 . This is a "UNITED BEHAVIORAL HEALTH" identifier . This identifiers is of the category "OTHER".
• Identifier: 24842 . This is a "HEALTH NEW ENGLAND" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
• Identifier: 1053499327 . This is a "TUFTS HEALTH PLAN" identifier . This identifiers is of the category "OTHER".
• Identifier: 1053499327 . This is a "BEACON HEALTH STRATEGIES FOR FALLON HEALTH PLAN" identifier . This identifiers is of the category "OTHER".
• Identifier: 7863953 . This is a "AETNA" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
• Identifier: 1053499327 . This is a "NORTHEAST HEALTH DIRECT" identifier . This identifiers is of the category "OTHER".
• Identifier: 1053499327 . This is a "US FAMILY HEALTH PLAN" identifier . This identifiers is of the category "OTHER".
• Identifier: 1053499327 . This is a "FALLON" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
• Identifier: 1053499327 . This is a "MULTIPLAN" identifier . This identifiers is of the category "OTHER".
• Identifier: 1053499327 . This is a "NORTH AMERICAN PREFERRED" identifier . This identifiers is of the category "OTHER".
• Identifier: G14129 . This is a "BLUE CROSS BLUE SHIELD OF MASSACHUSETTS" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".