Provider Demographics
NPI:1497774962
Name:FARBER, JEFFREY N (MD)
Entity Type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:N
Last Name:FARBER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:345 COURT ST
Mailing Address - Street 2:SUITE 201
Mailing Address - City:PLYMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02360-4329
Mailing Address - Country:US
Mailing Address - Phone:508-746-5300
Mailing Address - Fax:508-747-2001
Practice Address - Street 1:345 COURT ST
Practice Address - Street 2:SUITE 201
Practice Address - City:PLYMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02360-4329
Practice Address - Country:US
Practice Address - Phone:508-746-5300
Practice Address - Fax:508-747-2001
Is Sole Proprietor?:No
Enumeration Date:2006-07-18
Last Update Date:2008-05-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA49904207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAJ05551OtherBLUE CROSS NUMBER
MA070011628OtherINDIVIDUAL RAILROAD MEDICARE
MA712155OtherTUFTS PROVIDER NUMBER
MA4081OtherHARVARD PILGRIM NUMBER
MA03-00010OtherUNITED HEALTH CARE
MA712155OtherTUFTS PROVIDER NUMBER
MAJ05551OtherBLUE CROSS NUMBER