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Individual

TIMOTHY FARRELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
407 EAST AVE, UNIVERSITY MEDICINE GERIATRICS PRACTICE, PAWTUCKET, RI 02860-5299
(401) 728-7270
(401) 728-6453
Mailing address
111 BREWSTER STREET, FCC TEAM A, PAWTUCKET, RI 02860
(401) 729-3469
(401) 729-2541

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
7272237-1205
UT
207Q00000X
Family Medicine Physician
LP00143
RI
207Q00000X
Family Medicine Physician
Primary
MD12351
RI

Other

Enumeration date
08/17/2006
Last updated
10/26/2021
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