Individual
MATTHEW J FARGEN
Active
Individual
MATTHEW J FARGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
26382
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000388725
ANTHEM - NMA
—
01
—
072303
SIHO - NMA
—
05
—
200520630
—
IN
01
—
2742795000
PAD - NMA
—
01
—
50011338
PASSPORT - NMA
—
01
—
50023117
PASSPORT- NORTON INPATIENT SPECIALISTS
KY
05
—
64263825
—
KY
01
—
6598354
CIGNA / NMA
—
01
—
P00299457
RRMCR - NMA
KY
Enumeration date
11/03/2005
Last updated
07/21/2016
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