Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QA0505X | Family Doctor - Adult Medicine | 35 030101 | OH |
NPI | 1184964389 |
---|---|
Provider Name | James William Ferraro II |
First Address | Columbus, OH 43205 |
Second Address | Columbus, OH 43205-1190 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/02/2013 |
Last Update Date | 25/02/2013 |