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Individual

VICTOR JOHN FERLISE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
67 ROUTE 37 W, RIVERWOOD 2 SUITE 1, TOMS RIVER, NJ 08755-6400
(732) 914-1300
(732) 914-0849
Mailing address
67 ROUTE 37 W, RIVERWOOD 2 SUITE 1, TOMS RIVER, NJ 08755-6400
(732) 914-1300
(732) 914-0849

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
MD424821
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
7329141300
PHONE#
NJ
Enumeration date
07/20/2006
Last updated
04/23/2009
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