Provider Demographics
NPI:1396706297
Name:GOLDFARB, HAROLD J (MD)
Entity type:Individual
Prefix:DR
First Name:HAROLD
Middle Name:J
Last Name:GOLDFARB
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:501 NORTH 17TH ST
Mailing Address - Street 2:STE C
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18104
Mailing Address - Country:US
Mailing Address - Phone:610-776-1935
Mailing Address - Fax:610-776-1488
Practice Address - Street 1:501 NORTH 17TH ST
Practice Address - Street 2:STE C
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18104
Practice Address - Country:US
Practice Address - Phone:610-776-1935
Practice Address - Fax:610-776-1488
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD009998E207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
C27380Medicare UPIN
017926Medicare ID - Type Unspecified