Individual
TIMOTHY MICHAEL FARLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
902 LAKEVIEW AVE, PUEBLO, CO 81004-3597
(719) 557-5872
Mailing address
525 NEWARK AVE APT 3R, JERSEY CITY, NJ 07306-1328
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
TL0006314
CO
208D00000X
General Practice Physician
TP487
KY
208M00000X
Hospitalist Physician
Primary
01082603A
IN
208M00000X
Hospitalist Physician
46606
KY
Other
Enumeration date
11/25/2013
Last updated
01/27/2023
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