Individual
PETER J. FARANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3998 RED LION RD, PHILADELPHIA, PA 19114-1436
(215) 612-4000
(215) 807-8235
Mailing address
PO BOX 8500-6335, PHILADELPHIA, PA 19178-0001
(215) 807-8000
(215) 807-8235
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
MD032702E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011723870001
—
PA
05
—
0011723870002
—
PA
05
—
0011723870007
—
PA
01
—
001824
PERSONAL CHOICE
PA
01
—
01172387-02
AMERICHOICE
PA
01
—
0217173000
KEYSTONE IBC
PA
01
—
1031970
KEYSTONE MERCY
PA
01
—
28898
HEALTH PARTNERS
PA
01
—
7390789
CIGNA
PA
01
—
850205
AETNA CONTRACT
PA
01
—
PA0017269
TRICARE
PA
Enumeration date
07/18/2006
Last updated
07/10/2007
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