Basic Information
Provider Information
NPI: 1386195881
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MCFARLAND
FirstName: JOSEPH
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
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OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
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Mailing Information
Address1: 833 CHESTNUT ST
Address2: SUITE 1402
City: PHILADELPHIA
State: PA
PostalCode: 191074414
CountryCode: US
TelephoneNumber: 2673397839
FaxNumber: 2673393761
Practice Location
Address1: 925 CHESTNUT ST
Address2: 5TH FLOOR
City: PHILADELPHIA
State: PA
PostalCode: 191074216
CountryCode: US
TelephoneNumber: 2673393500
FaxNumber: 2155030580
Other Information
ProviderEnumerationDate: 10/19/2016
LastUpdateDate: 04/11/2017
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
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IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
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AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LF0000XSP016168PAY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily

No ID Information.


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