Individual
DR. PAUL ROBERT FARRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M. D.
Contact information
Practice address
2640 ROUTE 70, MANASQUAN, NJ 08736-2609
(732) 528-8448
(732) 223-5792
Mailing address
2502 EMERSON AVE, SPRING LAKE HEIGHTS, NJ 07762-2410
(732) 974-8292
(732) 974-1551
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
25MA03203500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
F-0853704
—
NJ
Enumeration date
04/01/2006
Last updated
01/09/2017
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