Individual
DR. CLARISSE D. CLEMONS FERRARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9 CASTLE HILL RD, PAWCATUCK, CT 06379-1958
(860) 303-9000
(860) 599-3479
Mailing address
89 CASTLE HILL RD, PAWCATUCK, CT 06379-1978
(860) 303-9000
(860) 599-3479
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
150089
NY
207Q00000X
Family Medicine Physician
048178
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
048178
CONNECTICUT LICENSE
CT
01
—
150089-1
LICENSE
NY
Enumeration date
04/20/2007
Last updated
04/11/2010
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