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Individual

MARY ELIZABETH FARRAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
7 GRANITE PL, SUITE 14, GAITHERSBURG, MD 20878-6586
(240) 631-1170
(240) 631-1031
Mailing address
15117 WESTBURY RD, ROCKVILLE, MD 20853-1763
(301) 929-9048

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
C0002642
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
118801100
MD
Enumeration date
06/12/2006
Last updated
01/28/2017
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