Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0201X | Gynecologic Oncologist | D0087654 | MD |
N | 207VX0201X | Gynecologic Oncologist | M5158 | TX |
N | 207VX0201X | Gynecologic Oncologist | MD439249 | PA |
NPI | 1114129541 |
---|---|
Provider Name | James Stuart Ferriss |
First Address | Baltimore, MD 21236-4902 |
Second Address | Baltimore, MD 21287-0005 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/06/2007 |
Last Update Date | 16/09/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1024818620001 | (05) | PA |
359296601 | (05) | TX |
359296602 | (05) | TX |