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Individual

MICHAEL C FARNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
901 ROUTE 168, SUITE 301-305, TURNERSVILLE, NJ 08012-3210
(856) 374-4031
(856) 751-0535
Mailing address
PO BOX 1710, VOORHEES, NJ 08043-7710
(856) 770-0504
(856) 751-0535

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
25MA07614300
NJ
2085R0204X
Vascular & Interventional Radiology Physician
25MA07614300
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0007625
NJ
01
00332780
RAILROAD MEDICARE
01
11606671
CAQH
01
1281188
AETNA
01
139672
UNITED HEALTHCARE
01
1490034
HIGHMARK PA BLUE SHIELD
01
2179727000
AMERIHEALTH
01
5700490
FIRST HEALTH
01
60023455
HORIZON NJ HEALTH
01
A3738029
OXFORD HEALTH
Enumeration date
04/08/2006
Last updated
12/14/2023
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