Individual
SHAUN P. FARRAHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
55 LAKE AVE N, FAMILY MEDICINE RESIDENCY, WORCESTER, MA 01655-0002
(508) 334-1000
Mailing address
55 LAKE AVE N, FAMILY MEDICINE RESIDENCY, WORCESTER, MA 01655-0002
(508) 334-1000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
245551
MA
Other
Enumeration date
07/01/2010
Last updated
08/26/2010
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