Healthcare Provider Details

I. General information

NPI: 1982854154
Provider Name (Legal Business Name): NOREEN F. BEDINI FERRANTE M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/24/2008
Last Update Date: 02/10/2021
Certification Date: 02/10/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 LYONS ST
DEDHAM MA
02026-5599
US

IV. Provider business mailing address

1 LYONS ST
DEDHAM MA
02026-5599
US

V. Phone/Fax

Practice location:
  • Phone: 781-493-3590
  • Fax: 781-278-5664
Mailing address:
  • Phone: 781-493-3590
  • Fax: 781-278-5664

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number57870
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: