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Individual

DOMINIC N FERRERA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1 ROSS PARK BLVD STE 103, STEUBENVILLE, OH 43952-2671
(740) 283-7300
(740) 283-7329
Mailing address
380 SUMMIT AVE, MSO PHYSICIAN BILLING, STEUBENVILLE, OH 43952-2667
(740) 283-7597
(740) 283-7190

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
13862
WV
208800000X
Urology Physician
Primary
35041927
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0385328
OH
01
791341118
RAILROAD MEDICARE
OH
Enumeration date
11/22/2006
Last updated
05/07/2020
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