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Individual

MICHAEL D FARWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3400 SPRUCE ST, PHILADELPHIA, PA 19104
(215) 662-7750
Mailing address
3400 SPRUCE ST, 1 SILVERSTEIN, PHILADELPHIA, PA 19104
(215) 662-7750

Taxonomy

Speciality
Code
Description
License number
State
2085N0904X
Nuclear Radiology Physician
MD448755
PA
2085R0202X
Diagnostic Radiology Physician
Primary
MD448755
PA

Other

Enumeration date
05/28/2008
Last updated
08/19/2015
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