Healthcare Provider Details

I. General information

NPI: 1821225426
Provider Name (Legal Business Name): JOEL VICTOR FERREIRA M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/22/2009
Last Update Date: 09/29/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

UCONN MEDICAL GROUP 263 FARMINGTON AVENUE
FARMINGTON CT
06030-0001
US

IV. Provider business mailing address

UCONN MEDICAL GROUP 263 FARMINGTON AVENUE
FARMINGTON CT
06030-0001
US

V. Phone/Fax

Practice location:
  • Phone: 860-679-6600
  • Fax: 860-679-6649
Mailing address:
  • Phone: 860-679-6600
  • Fax: 860-679-6649

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number055192
License Number StateCT
# 2
Primary TaxonomyY
Taxonomy Code207XS0106X
TaxonomyOrthopaedic Hand Surgery Physician
License Number055192
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: