Provider Demographics
NPI:1447655055
Name:FARBER, ADAM (CRNA)
Entity type:Individual
Prefix:MR
First Name:ADAM
Middle Name:
Last Name:FARBER
Suffix:
Gender:M
Credentials:CRNA
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Mailing Address - Street 1:4150 V STREET, UCDMC DEPT OF ANESTHESIOLOGY AND PAIN
Mailing Address - Street 2:PSSB STE 1200
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95817-1460
Mailing Address - Country:US
Mailing Address - Phone:916-734-5028
Mailing Address - Fax:916-734-2975
Practice Address - Street 1:4150 V STREET, UCDMC DEPT OF ANESTHESIOLOGY AND PAIN
Practice Address - Street 2:PSSB STE 1200
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95817-1460
Practice Address - Country:US
Practice Address - Phone:916-734-5028
Practice Address - Fax:916-734-2975
Is Sole Proprietor?:No
Enumeration Date:2014-10-24
Last Update Date:2014-10-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA95000198367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered