Individual
TIMOTHY P. FARRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1005 N GLEBE RD, #750, ARLINGTON, VA 22201-5718
(703) 524-7202
(703) 516-4501
Mailing address
2901 TELESTAR CT., #300, FALLS CHURCH, VA 22042-1261
(703) 591-1688
(703) 591-1445
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
0101236676
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
035853300
—
DC
05
—
1396749826
—
VA
05
—
405158100
—
MD
01
—
P00171751
RAILROAD MEDICARE VA #
VA
01
—
P00379519
RAILROAD MEDICARE DC#
DC
Enumeration date
06/13/2005
Last updated
08/27/2021
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