Farrell, Paul Robert

Farrell, Paul Robert is an individual health care provider with primary practice located at 2640 Route 70 , Manasquan NJ 08736-2609. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Farrell, Paul Robert can be contacted via phone (732) 528-8448.

Contact Information

Primary practice address
2640 Route 70 Manasquan NJ 08736-2609
Fax: (732) 223-5792
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 25MA03203500 New Jersey

Profile Details

NPI number 1679534176
LBN Legal business name Farrell, Paul Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 1st, 2006
Last updated Jan 9th, 2017 - about 8 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 1679534176 NPPES
New Jersey MEDICAID F-0853704

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