Organization
THE PHYSICIANS CLEMONS FERRARA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH P FERRARA MD (OWNER/PHYSICIAN)
(860) 599-5441
Entity
Organization
Contact information
Practice address
89 CASTLE HILL RD, PAWCATUCK, CT 06379-1978
(860) 599-5441
(860) 599-3479
Mailing address
85 CASTLE HILL RD, PAWCATUCK, CT 06379-1978
(860) 599-5441
(860) 599-3479
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
037286
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1285839506
GROUP NPI
CT
01
—
C03742
MEDICARE GROUP PTAN
CT
Enumeration date
06/18/2007
Last updated
09/07/2007
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