Individual
ANDREW FARB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10710 CHARTER DR, SUITE 400, COLUMBIA, MD 21044-2858
(410) 997-7979
(410) 997-9231
Mailing address
10710 CHARTER DR, SUITE 400, COLUMBIA, MD 21044-2858
(410) 997-7979
(410) 997-9231
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
D38252
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0061936
AETNA
MD
01
—
425717-04
CAREFIRST OF MARYLAND
MD
05
—
550161000
—
MD
01
—
P00963608
RAILROAD MEDICARE
MD
01
—
V879-0004
CAREFIRST GHMSI AND BLUE CHOICE
MD
Enumeration date
03/08/2006
Last updated
02/13/2013
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