Provider Demographics
NPI:1811965536
Name:FARRELL, CHRISTOPHER M (MD)
Entity type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:M
Last Name:FARRELL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2101 MEDICAL PARK DR STE 110
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20902-4053
Mailing Address - Country:US
Mailing Address - Phone:301-681-5400
Mailing Address - Fax:301-681-5806
Practice Address - Street 1:314 FRANKLIN AVE STE 201
Practice Address - Street 2:
Practice Address - City:BERLIN
Practice Address - State:MD
Practice Address - Zip Code:21811-1237
Practice Address - Country:US
Practice Address - Phone:410-629-0366
Practice Address - Fax:410-629-0365
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-09
Last Update Date:2022-09-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDD0066540207X00000X
NJ25MA07971600207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
H24990Medicare UPIN
098235M09Medicare ID - Type Unspecified