Individual
MISS ISIS SACRAMENTO FERREIRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8D CANAL CT, AVON, CT 06001
(860) 674-9686
(860) 674-9954
Mailing address
8D CANAL CT, AVON, CT 06001-3747
(860) 674-9686
(860) 674-9954
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
60384
CT
207R00000X
Internal Medicine Physician
D79058
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
095851400
—
MD
01
—
E6360022
CAREFIRST BS
MD
Enumeration date
08/14/2012
Last updated
08/14/2018
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