Healthcare Provider Details

I. General information

NPI: 1730933144
Provider Name (Legal Business Name): VINCENT ANTHONY FERRETTI DPM
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/12/2024
Last Update Date: 04/12/2024
Certification Date: 04/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 LAUREL OAK RD STE 105
VOORHEES NJ
08043-4455
US

IV. Provider business mailing address

400 LAUREL OAK RD STE 105
VOORHEES NJ
08043-4455
US

V. Phone/Fax

Practice location:
  • Phone: 856-582-6082
  • Fax:
Mailing address:
  • Phone: 609-970-9935
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: