Individual
DR. ROBERTO FULVIO FERRARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
135 PROFESSIONAL PARK DR, CONWAY, SC 29526-9261
(843) 347-8724
Mailing address
135 PROFESSIONAL PARK DR, CONWAY, SC 29526-9261
(843) 347-2450
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
9801645
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1225Y
INDIVIDUAL BC/BS NC #
NC
01
—
31669
PARTNERS MEDICARE #
NC
01
—
340018702
INDIVIDUAL RAILROAD MCR #
NC
05
—
891225Y
—
NC
Enumeration date
06/14/2006
Last updated
07/23/2021
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