Individual
DR. TIMOTHY JOHN FARLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 LINCOLN AVE, RADIOLOGY DEPT, CARBONDALE, PA 18407-2116
(570) 281-1000
Mailing address
PO BOX 517, CARBONDALE, PA 18407-0517
(570) 281-1315
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD 418198
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001887913
—
PA
Enumeration date
06/22/2006
Last updated
06/26/2008
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