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Individual

JERRY A. FERRENTINO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
140 CLARK ST, APARTMENT 2, MILFORD, CT 06460-8427
(203) 693-3777
(203) 693-3408
Mailing address
140 CLARK ST, APARTMENT 2, MILFORD, CT 06460-8427
(203) 693-3777
(203) 693-3408

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
032161
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001321611
CT
Enumeration date
09/12/2006
Last updated
03/03/2017
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