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Individual

ULANA V. FARMER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
481 KINGSTOWN RD, WAKEFIELD, RI 02879-3626
(401) 789-0283
(401) 789-0314
Mailing address
481 KINGSTOWN RD, WAKEFIELD, RI 02879-3626
(401) 789-0283
(401) 789-0314

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
MD10548
RI
207R00000X
Internal Medicine Physician
Primary
MD10548
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0102817
UNITEDHEALTHCARE
RI
01
409125
BLUE CHIP HMORI RI
RI
05
7009420
RI
01
MD10548
STATE LICENSE OF RI
RI
01
RI10548
BLUE CROSS LICENSE RI
RI
Enumeration date
06/07/2006
Last updated
07/10/2007
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