Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0700X | Prosthodontist | DS031420-L | PA |
NPI | 1184713752 |
---|---|
Provider Name | Dr. John Jude Ference |
First Address | Pittsburgh, PA 15213-2523 |
Second Address | Pittsburgh, PA 15213-2523 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/10/2006 |
Last Update Date | 13/06/2011 |