Individual
MATTHEW CHARLES FARRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
614 WARREN ST, PECKVILLE, PA 18452-1638
(570) 687-3616
Mailing address
614 WARREN ST, PECKVILLE, PA 18452-1638
(570) 687-3616
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
745723
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/19/2026
Last updated
01/19/2026
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