Individual
DR. TERENCE P FARRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MB BCH BAO
Contact information
Practice address
111 S 11TH ST, PHILADELPHIA, PA 19107-4824
(215) 955-6000
Mailing address
536 PINE ST APT B, PHILADELPHIA, PA 19106-4111
(267) 241-9320
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MT214801
PA
Other
Enumeration date
07/17/2018
Last updated
07/17/2018
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