Provider Demographics
NPI:1134353964
Name:ARMSTRONG, DAVID FARRELL (DO)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:FARRELL
Last Name:ARMSTRONG
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:123 HIGHLAND AVE STE 302
Mailing Address - Street 2:
Mailing Address - City:GLEN RIDGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07028-1575
Mailing Address - Country:US
Mailing Address - Phone:973-748-9555
Mailing Address - Fax:973-748-2003
Practice Address - Street 1:123 HIGHLAND AVE STE 302
Practice Address - Street 2:
Practice Address - City:GLEN RIDGE
Practice Address - State:NJ
Practice Address - Zip Code:07028-1575
Practice Address - Country:US
Practice Address - Phone:973-748-9555
Practice Address - Fax:973-748-2003
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-07
Last Update Date:2018-06-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY269416-1207RC0000X
NJ25MB10360600207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty