Provider Demographics
NPI:1700808136
Name:FARLAND, MONICA L (MD)
Entity Type:Individual
Prefix:DR
First Name:MONICA
Middle Name:L
Last Name:FARLAND
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1211 3RD ST
Mailing Address - Street 2:
Mailing Address - City:BEAVER
Mailing Address - State:PA
Mailing Address - Zip Code:15009-2530
Mailing Address - Country:US
Mailing Address - Phone:724-770-0990
Mailing Address - Fax:724-770-7957
Practice Address - Street 1:1211 3RD ST
Practice Address - Street 2:
Practice Address - City:BEAVER
Practice Address - State:PA
Practice Address - Zip Code:15009-2530
Practice Address - Country:US
Practice Address - Phone:724-770-0990
Practice Address - Fax:724-770-0992
Is Sole Proprietor?:No
Enumeration Date:2006-07-24
Last Update Date:2015-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD051468L207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0014990460001Medicaid
PA0014990460001Medicaid
PA762009LCKMedicare PIN