Individual
MR. CHARLES P FARLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
801 OSTRUM ST STE 409, BETHLEHEM, PA 18015-1000
(610) 954-5810
(610) 954-5480
Mailing address
PO BOX 5520, BETHLEHEM, PA 18015-0520
(610) 954-5810
(610) 954-5480
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN240461L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2074936000
IBC
—
01
—
50049158
CBC
—
Enumeration date
11/10/2005
Last updated
05/07/2020
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