JOHN FARENS MD PC - NPI 1174711188 - Internal Medicine in Shelton, CT

Q: What is the provider's specialty?

The provider's specialty is Internal Medicine with taxonomy code 207RA0000X and a focus in Adolescent Medicine.

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About John Farens Md Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOHN FARENS MD PC (NPI 1174711188) is a healthcare organization registered as an adolescent medicine in Shelton, Connecticut and active in the NPI registry since October 2007. The organization lists John Augustine Farens, President, as its authorized official.

NPPES Registry Identity

NPI1174711188

Entity TypeOrganization

Primary Taxonomy207RA0000X

Legal Business NameJOHN FARENS MD PC

Location Address224 LEAVENWORTH RDShelton, CT 06484-1809

Mailing Address224 Leavenworth RdShelton, CT 06484-1809 · (203) 926-1206 · Fax (203) 926-0413

Phone(203) 926-1206

Fax(203) 926-0413

Organization SubpartNo

Authorized OfficialJohn Augustine FarensPresident · (203) 926-1206

Enumeration DateOctober 4, 2007

Last NPPES UpdateMarch 21, 2011

✔ NPI 1174711188 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Adolescent MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207RA0000X

License✔ Licensed in CT · 028528

Definition

An internist who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

224 LEAVENWORTH RD, Shelton, CT 06484

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Other Identifiers 3

Medicare PINC02531CT

Medicaid1285289CT

Medicare UPINE45107CT

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOHN FARENS MD

Internal Medicine