Individual
ELENA R FARRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
4386 STURBRIDGE DRIVE, SUITE 1, HARRISBURG, PA 17110-3668
(717) 652-4924
(717) 652-1015
Mailing address
4386 STURBRIDGE DRIVE, HARRISBURG, PA 17110
(717) 652-4924
(717) 652-1015
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
0S008191L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1412549
KEYSTONE SR BLUE
—
01
—
167531
UNISON
—
01
—
202749
COVENTRY
—
01
—
27085
HEALTH GUARD
—
01
—
392493
NVA DOC
—
01
—
39808
GEISINGER
—
01
—
50003172
CAPITAL BLUE CROSS
—
01
—
5766476
AETNA
—
01
—
PA8191
EYE MED
—
01
—
PO36061
CHAMPUS
—
Enumeration date
10/17/2005
Last updated
07/08/2007
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