Individual
DR. ROBERT A FERRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1221 MERCANTILE LN, KAISER PERMANENTE LARGO MEDICAL CENTER, LARGO, MD 20774-5374
(301) 618-5500
Mailing address
2101 E JEFFERSON ST, KAISER PERMANENTE MEDICARE ENROLLMENT, ROCKVILLE, MD 20852-4908
(301) 816-2424
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
0101025772
VA
2085R0202X
Diagnostic Radiology Physician
Primary
D16415
MD
2085R0202X
Diagnostic Radiology Physician
MD5874
DC
Other
Enumeration date
11/15/2006
Last updated
12/06/2012
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