Individual
MRS. KIMBERLEY P FARINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C
Contact information
Practice address
3 WOODLAND RD, SUITE 216, STONEHAM, MA 02180-1702
(781) 979-0661
(781) 979-0372
Mailing address
3 WOODLAND RD, SUITE 216, STONEHAM, MA 02180-1702
(781) 979-0661
(781) 979-0372
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1097
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00316774
RR MEDICARE
MA
Enumeration date
11/26/2007
Last updated
04/09/2013
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