Healthcare Provider Details

I. General information

NPI: 1952372641
Provider Name (Legal Business Name): DONALD V FERRARI D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/30/2006
Last Update Date: 10/08/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

154 EXTON SQUARE MALL
EXTON PA
19341-2440
US

IV. Provider business mailing address

154 EXTON SQUARE MALL
EXTON PA
19341-2440
US

V. Phone/Fax

Practice location:
  • Phone: 484-876-2160
  • Fax: 484-876-2164
Mailing address:
  • Phone: 484-876-2160
  • Fax: 484-876-2164

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberOS007366E
License Number StatePA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: