Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | MD24526 | ME |
N | 207VX0201X | Gynecologic Oncologist | 25MA10375000 | NJ |
N | 207VX0201X | Gynecologic Oncologist | 284912 | NY |
NPI | 1396975520 |
---|---|
Provider Name | Terri Febbraro |
First Address | Scarborough, ME 04074-7171 |
Second Address | Scarborough, ME 04074-7171 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/07/2009 |
Last Update Date | 29/04/2021 |