Individual
DR. MICHAEL J FARRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
270 N KESWICK AVE, GLENSIDE, PA 19038-4826
(215) 572-1580
(215) 754-4917
Mailing address
31 N LINDEN AVE, HATBORO, PA 19040-3115
(215) 572-1580
(215) 754-4917
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC006126L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0867776000
BLUE CROSS/BLUS SHIELD
PA
Enumeration date
06/05/2006
Last updated
02/01/2012
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