Provider Demographics
NPI:1295896165
Name:FARBER, STEVEN L (DC)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:L
Last Name:FARBER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:619 AMBOY AVE
Mailing Address - Street 2:
Mailing Address - City:EDISON
Mailing Address - State:NJ
Mailing Address - Zip Code:08837-3584
Mailing Address - Country:US
Mailing Address - Phone:732-661-1121
Mailing Address - Fax:732-661-1151
Practice Address - Street 1:619 AMBOY AVE
Practice Address - Street 2:
Practice Address - City:EDISON
Practice Address - State:NJ
Practice Address - Zip Code:08837-3584
Practice Address - Country:US
Practice Address - Phone:732-661-1121
Practice Address - Fax:732-661-1151
Is Sole Proprietor?:No
Enumeration Date:2006-12-13
Last Update Date:2010-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00473200111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJU59317Medicare UPIN
NJ809237UG8Medicare ID - Type Unspecified