Doctor Name: | MR. ERIC WAYNE FARABAUGH |
NPI Number: | 1457477234 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MPAS, PA-C |
License Number: | MA-003444-L |
Business Practice Address: | 8775 Norwin Ave North Huntingdon, PA - 156422718 |
Business Phone Number: | 7246890520 |
Business Fax Number: | 7246890522 |
Mailing Address: | 8775 Norwin Ave, NORTH HUNTINGDON |
State: | PA |
Postal Code: | 156422718 |
Phone Number: | 7246890520 |
Fax Number: | 7246890522 |
NPI Enumeration Date: | 03/22/2007 |
NPI Last Update Date: | 01/21/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AS0400X |
License Number: | MA-003444-L |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Surgical |
Taxonomy Definition: |