Individual
DR. DAVID S FARRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
450 VETERANS MEMORIAL PKWY, BLDG. 11 UNIT B, EAST PROVIDENCE, RI 02914-5300
(401) 438-9150
(401) 435-8013
Mailing address
450 VETERANS MEMORIAL PKWY, BLDG. 11 UNIT B, EAST PROVIDENCE, RI 02914-5300
(401) 438-9150
(401) 435-8013
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
05804
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
709004108
GROUP MEDICARE
RI
05
—
DF58411
—
RI
Enumeration date
08/08/2006
Last updated
07/10/2007
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