Individual
JON M FARBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1990 OLD BRIDGE RD, WOODBRIDGE, VA 22192-2383
(703) 491-4131
(703) 491-4419
Mailing address
1990 OLD BRIDGE RD, WOODBRIDGE, VA 22192-2383
(703) 491-4131
(703) 491-4419
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0101038289
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6792898
—
VA
Enumeration date
03/17/2006
Last updated
11/14/2012
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