Individual
LISA A FERZOCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1493 CAMBRIDGE ST DEPT OF, CAMBRIDGE, MA 02139-1099
(617) 665-2555
Mailing address
63 NORFOLK RD, MILLIS, MA 02054-1723
(508) 726-1072
(617) 754-6430
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
205372
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0022279
NEIGHBORHOOD HEALTH PLAN
—
01
—
0125211
MASS HEALTH
—
01
—
17-01327
UNITED HEALTH CARE
—
01
—
1950770
CIGNA HEALTH CARE
—
01
—
1960770
HEALTHSOURCE-MA
—
01
—
205372
TUFTS
—
01
—
40254
CHILDREN'S MEDICAL SECURI
—
01
—
802591
HARVARD PILGRIM POS
—
01
—
J23135
HMO BLUE/BLUE CHOICE
—
01
—
P00010450
RAILROAD MEDICARE
—
Enumeration date
06/28/2005
Last updated
01/19/2022
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