Individual
MICHAEL JOHN FARETTA III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
112 N 7TH ST, CHAMBERSBURG, PA 17201-1720
(717) 267-7146
(717) 267-7728
Mailing address
112 N 7TH ST, CHAMBERSBURG, PA 17201-1720
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD460349
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103315267
—
PA
Enumeration date
04/08/2014
Last updated
02/13/2020
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