Wildon R Farwell, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

219125 Issued in MA

Practice address

1620 Tremont Street
Brigham and Womens Hospital Division of Aging
Boston, MA 02120

Phone

(857) 364-6182

NPI assigned

Aug 16, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679686406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 SOUTH HUNTINGTON AVENUE",
            "address_2": "VA BOSTON HEALTHCARE MAVERIC",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02130",
            "telephone_number": "857-364-6182",
            "fax_number": "857-364-6528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 TREMONT STREET",
            "address_2": "BRIGHAM AND WOMENS HOSPITAL DIVISION OF AGING",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02120",
            "telephone_number": "857-364-6182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARWELL",
        "first_name": "WILDON",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "219125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Garrett Farroll
• Maureen Farrrell, RN
• Yousaf Z Farukhi, MD, DMD
• Zareen M Farukhi, M.D.
• Alan P Farwell, M.D.
• Sheila Ann Faryman, M.D.
• Omotayo Fasan
• Chloe Elyse Fasanmi
• Alessio Fasano, MD
• Amanda Fasano

• Internal Medicine Physician in Boston, MA
• Providers in Boston, MA by specialty
• Internal Medicine Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.