Basic Information
| Provider Information | |||||||||
| NPI: | 1861626376 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | FARRISH | ||||||||
| FirstName: | ERIN | ||||||||
| MiddleName: | ALICE | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3800 RESERVOIR RD NW | ||||||||
| Address2: | DEPARTMENT OF MEDICINE/PEDIATRICS | ||||||||
| City: | WASHINGTON | ||||||||
| State: | DC | ||||||||
| PostalCode: | 200072113 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2024448168 | ||||||||
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| Practice Location | |||||||||
| Address1: | 3800 RESERVOIR RD NW | ||||||||
| Address2: | DEPARTMENT OF MEDICINE/PEDIATRICS | ||||||||
| City: | WASHINGTON | ||||||||
| State: | DC | ||||||||
| PostalCode: | 200072113 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2024442600 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 05/12/2009 | ||||||||
| LastUpdateDate: | 08/23/2013 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | MD039184 | DC | Y | Allopathic & Osteopathic Physicians | Internal Medicine | 208000000X | MD039184 | DC | N | Allopathic & Osteopathic Physicians | Pediatrics |
No ID Information.