Provider Demographics
NPI:1427047695
Name:FARMLETT, EDWARD J (MD)
Entity type:Individual
Prefix:DR
First Name:EDWARD
Middle Name:J
Last Name:FARMLETT
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 4110
Mailing Address - Street 2:DEPARTMENT 3340
Mailing Address - City:WOBURN
Mailing Address - State:MA
Mailing Address - Zip Code:01888-4110
Mailing Address - Country:US
Mailing Address - Phone:603-524-3211
Mailing Address - Fax:603-524-0089
Practice Address - Street 1:87 SPRING ST
Practice Address - Street 2:SUITE 101
Practice Address - City:LACONIA
Practice Address - State:NH
Practice Address - Zip Code:03246-3156
Practice Address - Country:US
Practice Address - Phone:603-524-3211
Practice Address - Fax:603-524-0089
Is Sole Proprietor?:No
Enumeration Date:2005-10-19
Last Update Date:2014-11-12
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Provider Licenses
StateLicense IDTaxonomies
NH76112085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH30002698Medicaid
NHNT0046Medicare PIN
NH30002698Medicaid