Healthcare Provider Details

I. General information

NPI: 1144241951
Provider Name (Legal Business Name): RICHARD A FERBER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/21/2006
Last Update Date: 02/05/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3416 BROWN ST NW APT B
WASHINGTON DC
20010-1897
US

IV. Provider business mailing address

3416 BROWN ST, NW APT B
WASHINGTON DC
20010-1897
US

V. Phone/Fax

Practice location:
  • Phone: 617-519-9300
  • Fax: 413-812-0007
Mailing address:
  • Phone: 617-519-9300
  • Fax: 413-812-0007

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number37111
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code2080S0012X
TaxonomyPediatric Sleep Medicine Physician
License NumberMD039865
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: