Provider Demographics
NPI:1952364887
Name:FARABAUGH, ERIC ANTHONY (MD)
Entity Type:Individual
Prefix:DR
First Name:ERIC
Middle Name:ANTHONY
Last Name:FARABAUGH
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1601 CHERRY ST STE 11511
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19102-1310
Mailing Address - Country:US
Mailing Address - Phone:215-255-3782
Mailing Address - Fax:215-255-7825
Practice Address - Street 1:230 N BROAD ST
Practice Address - Street 2:DREXEL EMERGENCY MEDICINE HUH
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19102-1121
Practice Address - Country:US
Practice Address - Phone:215-762-7963
Practice Address - Fax:215-246-5793
Is Sole Proprietor?:No
Enumeration Date:2006-04-11
Last Update Date:2013-01-02
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAMD441698207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine