Provider Demographics
NPI:1861525172
Name:HAROLD J. GOLDFARB MD
Entity type:Organization
Organization Name:HAROLD J. GOLDFARB MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:HAROLD
Authorized Official - Middle Name:J
Authorized Official - Last Name:GOLDFARB
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:610-776-1935
Mailing Address - Street 1:501N. 17TH ST.
Mailing Address - Street 2:STE. C
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18104-5026
Mailing Address - Country:US
Mailing Address - Phone:610-776-1935
Mailing Address - Fax:610-776-1488
Practice Address - Street 1:501N. 17TH ST.
Practice Address - Street 2:STE. C
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18104-5026
Practice Address - Country:US
Practice Address - Phone:610-776-1935
Practice Address - Fax:610-776-1488
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-14
Last Update Date:2007-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD-009998-E332H00000X
207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
No332H00000XSuppliersEyewear SupplierGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1225000001Medicare NSC
C27380Medicare UPIN
017926Medicare ID - Type Unspecified