Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 72099 | MA |
NPI | 1235205345 |
---|---|
Provider Name | Karen Marie Ferroni |
First Address | Holyoke, MA 01040 |
Second Address | Holyoke, MA 01040 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/11/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
6182763 | (05) | MA |
A68221 | (02) |