Individual
CHARLES JOSEPH FARROW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
47 N RIVER RD, STUART, FL 34996-6635
(772) 220-7582
Mailing address
47 N RIVER RD, STUART, FL 34996-6635
(772) 220-7582
Taxonomy
Speciality
Code
Description
License number
State
2085N0904X
Nuclear Radiology Physician
ME40048
FL
2085R0202X
Diagnostic Radiology Physician
Primary
ME40048
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04993
BLUE CROSS
FL
05
—
48067300
—
FL
Enumeration date
12/04/2008
Last updated
12/04/2008
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