Individual
GIOVANNI AGOSTINO FERRANTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
680 CENTRE ST, BROCKTON, MA 02302-3308
(150) 894-1700
Mailing address
680 CENTRE ST, BROCKTON, MA 02302-3308
(508) 941-7000
(508) 941-0893
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
0101254593
VA
208600000X
Surgery Physician
48573
TN
208600000X
Surgery Physician
58121
MA
2086S0129X
Vascular Surgery Physician
0101254593
VA
2086S0129X
Vascular Surgery Physician
48573
TN
2086S0129X
Vascular Surgery Physician
Primary
58121
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1104818103
—
VA
05
—
3024393
—
MA
01
—
34698
FALLON
—
01
—
J06780
BC/BS
—
05
—
Q008560
—
TN
01
—
VVB935A
MEDICARE
VA
Enumeration date
08/17/2005
Last updated
03/08/2022
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