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Provider Information for 1154551463

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

CAITLIN ANN FARRELL M.D.

Gender: FEMALE

Individual NPI: 1154551463

Calendar   Last Updated:  2013-02-07
  Certification Date: 

Details

Name Value
NPI 1154551463
Enumeration Date 2009-07-21
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 300 LONGWOOD AVE DIVISION OF EMERGENCY MEDICINE
BOSTON, MA 02115-5724
United States

Phone: 617-355-6624 | Fax: 617-730-0335
View Map External Link
Primary Practice Address 300 LONGWOOD AVE DIVISION OF EMERGENCY MEDICINE
BOSTON, MA 02115-5724
United States

Phone: 617-355-6624 | Fax: 617-730-0335
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 208000000X - Pediatrics MA 250865
No 208000000X - Pediatrics PA MT194862