Individual
DR. JONATHAN ANDREW DAVID FARRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
1 MEDICAL CENTER DR, LEBANON, NH 03756-1000
(603) 650-5000
Mailing address
1 MEDICAL CENTER DR, LEBANON, NH 03756-1000
(603) 650-5000
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
20204
NH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/01/2014
Last updated
05/29/2020
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