Individual
EDWARD F FARA
Active
Individual
EDWARD F FARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
01033200
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100361870
—
IN
01
—
M147140052
MEDICARE PTAN
IN
Enumeration date
03/24/2006
Last updated
03/18/2021
Update your record
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