Individual
FARHAN MATIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
525 POPE ST, MENLO PARK, CA 94025-2859
(718) 614-5794
Mailing address
525 POPE ST, MENLO PARK, CA 94025-2859
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
214201
NY
2084P0804X
Child & Adolescent Psychiatry Physician
214201
NY
Other
Enumeration date
12/01/2006
Last updated
10/15/2012
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