Healthcare Provider Details

I. General information

NPI: 1033372107
Provider Name (Legal Business Name): MARCO FERRONE M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/08/2008
Last Update Date: 08/24/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

55 FRUIT ST YAWKEY 3B
BOSTON MA
02114-2621
US

IV. Provider business mailing address

24 HANCOCK ST APT #5
BOSTON MA
02114-4161
US

V. Phone/Fax

Practice location:
  • Phone: 617-643-0355
  • Fax:
Mailing address:
  • Phone: 617-643-0355
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207XS0117X
TaxonomyOrthopaedic Surgery of the Spine Physician
License Number241504
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number241504
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: