Provider Demographics
NPI:1740967355
Name:OFARRELL, ROSEMARIE LYNN (NAPB)
Entity type:Individual
Prefix:
First Name:ROSEMARIE
Middle Name:LYNN
Last Name:OFARRELL
Suffix:
Gender:F
Credentials:NAPB
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 SPRUCE ST
Mailing Address - Street 2:
Mailing Address - City:WAKEFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01880-2524
Mailing Address - Country:US
Mailing Address - Phone:781-632-6221
Mailing Address - Fax:
Practice Address - Street 1:572 MAIN ST
Practice Address - Street 2:
Practice Address - City:WAKEFIELD
Practice Address - State:MA
Practice Address - Zip Code:01880-3350
Practice Address - Country:US
Practice Address - Phone:781-246-2497
Practice Address - Fax:781-213-9237
Is Sole Proprietor?:No
Enumeration Date:2023-07-05
Last Update Date:2023-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAPT2366156F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156F00000XEye and Vision Services ProvidersTechnician/Technologist