Individual
JOHN T FARRAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3400 CIVIC CENTER BLVD., PENN MEDICINE, PHILADELPHIA, PA 19104-4306
(215) 349-8310
(215) 662-2739
Mailing address
423 GUARDIAN DR, 816 BLOCKLEY, PHILADELPHIA, PA 19104
(215) 898-5802
(215) 573-5315
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
MD044835L
PA
2084P2900X
Pain Medicine (Psychiatry & Neurology) Physician
Primary
MD044835L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001276130001
—
PA
Enumeration date
07/07/2006
Last updated
04/03/2012
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