1144262171 NPI number — DAVID J FARBER MD

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1144262171 NPI number — DAVID J FARBER MD

Employer Identification Number (EIN):

Provider Organization Name:

Provider Last Name:

FARBER

Provider First Name:

DAVID

Provider Middle Name:

J

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:

1144262171

Entity Type Code:

Individual

Replacement NPI:

Last Update Date:

04/21/2020

NPI Deactivation Reason Code:

NPI Deactivation Date:

NPI Reactivation Date:

Provider First Line Business Mailing Address:

200 MILL RD

Provider Second Line Business Mailing Address:

SUITE 180

Provider Business Mailing Address City Name:

FAIRHAVEN

Provider Business Mailing Address State Name:

MA

Provider Business Mailing Address Postal Code:

02719-5252

Provider Business Mailing Address Country Code:

US

Provider Business Mailing Address Telephone Number:

508-973-2000

Provider Business Mailing Address Fax Number:

508-973-2001

Provider First Line Business Practice Location Address:

1030 PRESIDENT AVE

Provider Second Line Business Practice Location Address:

SUITE 3001

Provider Business Practice Location Address City Name:

FALL RIVER

Provider Business Practice Location Address State Name:

MA

Provider Business Practice Location Address Postal Code:

02720-5923

Provider Business Practice Location Address Country Code:

US

Provider Business Practice Location Address Telephone Number:

508-973-9700

Provider Business Practice Location Address Fax Number:

508-674-7378

Provider Enumeration Date:

06/12/2006

Authorized Official Last Name:

Authorized Official First Name:

Authorized Official Middle Name:

Authorized Official Title or Position:

Authorized Official Telephone Number:

• Taxonomy code: 207RC0000X , with the licence number:  157823 , registered in the state of MA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

• Identifier: 46361 . This is a "RI BLUE SHIELD" identifier , issued by the state of ( RI ) . This identifiers is of the category "OTHER".
• Identifier: 2501622 . This is a "UNITED HEALTH CARE" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
• Identifier: 3236114 . This is a "AETNA US HEALTH CARE" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
• Identifier: J21662 . This is a "BLUE SHIELD" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
• Identifier: 0016492 . This is a "NEIGHBORHOOD HEALTH" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
• Identifier: 3204499 , issued by the state of ( MA ) . This identifiers is of the category "MEDICAID".
• Identifier: 000000026735 . This is a "BMC HEALTHNET PLAN" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
• Identifier: 304698 . This is a "HARVARD PILGRIM" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
• Identifier: 157823 . This is a "TUFTS HEALTH PLAN" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
• Identifier: 410666 . This is a "BLUE CHIP" identifier , issued by the state of ( RI ) . This identifiers is of the category "OTHER".
• Identifier: 060071429 . This is a "RAILROAD MEDICARE" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
• Identifier: DF49724 . This is a "EDS" identifier , issued by the state of ( RI ) . This identifiers is of the category "OTHER".