Healthcare Provider Details

I. General information

NPI: 1942790308
Provider Name (Legal Business Name): ENRICO GIUSEPPE FERRO MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/11/2018
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

330 BROOKLINE AVE
BOSTON MA
02215-5400
US

IV. Provider business mailing address

185 PILGRIM RD
BOSTON MA
02215-5324
US

V. Phone/Fax

Practice location:
  • Phone: 617-632-7828
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0001X
TaxonomyClinical Cardiac Electrophysiology Physician
License Number285248
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number285248
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: