Provider Demographics
NPI:1063212561
Name:FAREY, JOHN EDWARD (MBBS (HONS) FRACS)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:EDWARD
Last Name:FAREY
Suffix:
Gender:
Credentials:MBBS (HONS) FRACS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:313 YOUNG ST
Mailing Address - Street 2:
Mailing Address - City:ANNANDALE
Mailing Address - State:NSW
Mailing Address - Zip Code:02038
Mailing Address - Country:AU
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:313 YOUNG ST
Practice Address - Street 2:
Practice Address - City:ANNANDALE
Practice Address - State:NSW
Practice Address - Zip Code:02038
Practice Address - Country:AU
Practice Address - Phone:614-199-8759
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-14
Last Update Date:2025-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Provider Identifiers
StateIdentifier IDID TypeIssuer
MED0002001528OtherAUSTRALIAN HEALTH PRACTITIONER REGULATION AUTHORITY