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Individual

ROBERT FARRAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
61 S FULLERTON AVE, MONTCLAIR, NJ 07042-2634
(248) 505-0055
Mailing address
61 S FULLERTON AVE, MONTCLAIR, NJ 07042-2634
(248) 505-0055

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
4301049866
MI
207L00000X
Anesthesiology Physician
Primary
D03604000
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
104773596
MI
Enumeration date
05/04/2006
Last updated
09/10/2013
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