Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | MD425290 | PA |
N | 111NI0900X | Internist | MD425290 | PA |
Y | 207RC0200X | Critical Care Medicine | MD425290 | PA |
N | 207RP1001X | Pulmonary Disease | MD425290 | PA |
NPI | 1083729925 |
---|---|
Provider Name | Nelson B Ferrer |
First Address | Philadelphia, PA 19182-0933 |
Second Address | Philadelphia, PA 19111-2442 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/08/2006 |
Last Update Date | 29/08/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
100727800 | MEDICAID GROUP (01) | PA |
597586 | MEDICARE GROUP TPI (01) | PA |
CD4829 | RR MEDICARE TPI GROUP (01) | PA |