Provider Demographics
NPI:1760496905
Name:FARKAS, JUDITH MARIE (MD)
Entity type:Individual
Prefix:DR
First Name:JUDITH
Middle Name:MARIE
Last Name:FARKAS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:215 AMBOY AVE
Mailing Address - Street 2:
Mailing Address - City:METUCHEN
Mailing Address - State:NJ
Mailing Address - Zip Code:08840-2410
Mailing Address - Country:US
Mailing Address - Phone:732-549-7364
Mailing Address - Fax:732-549-6017
Practice Address - Street 1:215 AMBOY AVE
Practice Address - Street 2:
Practice Address - City:METUCHEN
Practice Address - State:NJ
Practice Address - Zip Code:08840-2410
Practice Address - Country:US
Practice Address - Phone:732-549-7364
Practice Address - Fax:732-549-6017
Is Sole Proprietor?:No
Enumeration Date:2006-07-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJMA42897OtherMEDICAL LICENSE