Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | 25MA10906300 | NJ |
Y | 207RA0401X | Internist - Addiction Medicine | 25MA10906300 | NJ |
NPI | 1942658349 |
---|---|
Provider Name | Christina Ferrari |
First Address | Camden, NJ 08103-1088 |
Second Address | Camden, NJ 08102-1155 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/05/2016 |
Last Update Date | 29/09/2020 |