Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 25MA06677300 | NJ |
NPI | 1013904416 |
---|---|
Provider Name | Christopher Richard Ferrante |
First Address | Bethlehem, PA 18017-7307 |
Second Address | Bethlehem, PA 18017-7307 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/09/2005 |
Last Update Date | 16/02/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H55173 | (02) |