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Organization

FARRELL PLASTIC SURGERY & LASER CENTER, PC

Active
Other names
Farrell Plastic Surgery, PC
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LEO D FARRELL MD (OWNER)
(717) 732-9000
Entity
Organization

Contact information

Practice address
2025 TECHNOLOGY PKWY, SUITE 204, MECHANICSBURG, PA 17050-9400
(717) 732-9000
(717) 732-9011
Mailing address
2025 TECHNOLOGY PKWY, SUITE 204, MECHANICSBURG, PA 17050-9400
(717) 732-9000
(717) 732-9011

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
MD032979E
PA
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
MD032080E
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
02296800
CAPITAL BLUE CROSS GROUP
PA
01
740107
HIGHMARK BLUE SHIELD GROU
PA
Enumeration date
05/10/2007
Last updated
12/05/2022
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