Organization
DOMINIC N. FERRERA, MD, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOMINIC N. FERRERA MD (OWNER)
(740) 283-7300
Entity
Organization
Contact information
Practice address
1 ROSS PARK BLVD, SUITE 103, STEUBENVILLE, OH 43952-2671
(740) 283-7300
(740) 282-5256
Mailing address
380 SUMMIT AVENUE, MSO PHYSICIAN BILLING, STEUBENVILLE, OH 43952-2667
(740) 283-7300
(740) 282-5256
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
13862
WV
208800000X
Urology Physician
Primary
35-041927F
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0385328
—
OH
01
—
791341118
RAILROAD MEDICARE
OH
Enumeration date
10/18/2005
Last updated
05/12/2020
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