Organization
MATHER PRIMARY CARE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOAN FARO (PRESIDENT)
(631) 473-1320
Entity
Organization
Contact information
Practice address
125 OAKLAND AVE, SUITE 205, PORT JEFFERSON, NY 11777-2130
(631) 686-2523
(631) 686-2525
Mailing address
125 OAKLAND AVE, SUITE 205, PORT JEFFERSON, NY 11777-2130
(631) 686-2523
(631) 686-2525
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
10/02/2013
Last updated
10/02/2013
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