Farnsworth, Marie

Farnsworth, Marie is an individual health care provider with primary practice located at 1925 Pacific Ave , Atlantic City NJ 08401-6713. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Farnsworth, Marie can be contacted via phone (609) 345-4000.

Contact Information

Primary practice address
1925 Pacific Ave Atlantic City NJ 08401-6713
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 25MA03849500 New Jersey

Profile Details

NPI number 1023061157
LBN Legal business name Farnsworth, Marie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2006
Last updated Aug 6th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023061157 NPPES
New Jersey Other 30028084 KEYSTONE MERCY
New Jersey Other 0117219000 KEYSTONE MERCY
New Jersey Other 60018856 KEYSTONE MERCY
New Jersey MEDICAID 5012309 KEYSTONE MERCY

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