Organization
ALLEN COUNTY RETINAL SURGEONS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW E FARBER M.D. (OWNER)
(260) 436-2181
Entity
Organization
Contact information
Practice address
7900 W JEFFERSON BLVD, SUITE 300, FORT WAYNE, IN 46804-4128
(260) 436-2181
(260) 436-2567
Mailing address
7900 W JEFFERSON BLVD, SUITE 300, FORT WAYNE, IN 46804-4128
(260) 436-2181
(260) 436-2567
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
01037909A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200280170
—
IN
Enumeration date
03/19/2007
Last updated
03/24/2017
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