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Contact Information

JOHN M FARRELL, PA
900 NORTHROP RD
WALLINGFORD, CT06492
 Phone: 203-949-1534
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for JOHN M FARRELL · (Male)

NPI # 1457478984
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 03/22/2007
Last updated 10/10/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • CT License # 000202
  • CT Medicaid 003002029
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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