Individual
MARK STEVEN FARNUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
50 TUPELO RD, MARSHFIELD, MA 02050-4427
(781) 837-9030
Mailing address
1020 PLEASANT STREET, BROCKTON, MA 02301
(508) 586-7706
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
642
MA
Other
Enumeration date
11/21/2006
Last updated
07/08/2007
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