Provider Demographics
NPI:1841166238
Name:FARINELLA, FRANCESCO JOSHUA
Entity type:Individual
Prefix:
First Name:FRANCESCO
Middle Name:JOSHUA
Last Name:FARINELLA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:456 ROOSEVELT TRL STE 3
Mailing Address - Street 2:
Mailing Address - City:WINDHAM
Mailing Address - State:ME
Mailing Address - Zip Code:04062-6905
Mailing Address - Country:US
Mailing Address - Phone:781-787-2504
Mailing Address - Fax:
Practice Address - Street 1:456 ROOSEVELT TRL STE 3
Practice Address - Street 2:
Practice Address - City:WINDHAM
Practice Address - State:ME
Practice Address - Zip Code:04062-6905
Practice Address - Country:US
Practice Address - Phone:781-787-2504
Practice Address - Fax:781-787-2504
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-14
Last Update Date:2025-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training ProgramGroup - Multi-Specialty