Individual
DR. MICHAEL L FARRELL
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
547 UNION BLVD, TOTOWA, NJ 07512
(973) 790-9301
(201) 785-9609
Mailing address
PO BOX 47, UPPER SADDLE RIVER, NJ 07458
(973) 790-9301
(201) 785-9609
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
M868138
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00203882
PALMETTO RR MEDICARE
—
01
—
1108753
NJ HEALTH
—
01
—
1941041
OXFORD
—
01
—
54231
AMERIGROUP
—
01
—
7863053
AETNA
—
05
—
8090301
—
NJ
01
—
91001477700
AMERICHOICE MEDICAID
—
01
—
J12009
HEALTHNET
—
Enumeration date
04/18/2006
Last updated
07/08/2007
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