Provider Demographics
NPI:1366694598
Name:FARRER, JULIE THERESA (MS, RD, LD)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:THERESA
Last Name:FARRER
Suffix:
Gender:F
Credentials:MS, RD, LD
Other - Prefix:
Other - First Name:JULIE
Other - Middle Name:THERESA
Other - Last Name:BARTO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:145 CONGRESS ST
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01757-3716
Mailing Address - Country:US
Mailing Address - Phone:617-504-1537
Mailing Address - Fax:508-634-4382
Practice Address - Street 1:14 PROSPECT ST
Practice Address - Street 2:MILFORD REGIONAL MEDICAL CENTER
Practice Address - City:MILFORD
Practice Address - State:MA
Practice Address - Zip Code:01757-3003
Practice Address - Country:US
Practice Address - Phone:508-422-2531
Practice Address - Fax:508-634-4382
Is Sole Proprietor?:No
Enumeration Date:2008-10-21
Last Update Date:2013-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2582133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered