Individual
JASON E FARLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
C.R.N.P.
Contact information
Practice address
600 N WOLFE ST, BALTIMORE, MD 21287-0005
(410) 955-1725
Mailing address
PO BOX 64264, BALTIMORE, MD 21264-4264
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
R148132
MD
207RI0200X
Infectious Disease Physician
Primary
R148132
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
403215200
—
MD
Enumeration date
07/04/2006
Last updated
01/10/2014
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