Individual
ROBERT E FARRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
PO BOX U, WAVERLY, PA 18471-0739
(570) 563-1660
Mailing address
PO BOX U, WAVERLY, PA 18471-0739
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD028594L
PA
Other
Enumeration date
11/06/2008
Last updated
11/06/2008
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