Healthcare Provider Details

I. General information

NPI: 1558414367
Provider Name (Legal Business Name): CLAUDIA FERRAN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/18/2007
Last Update Date: 03/05/2024
Certification Date: 03/05/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3371 ROUTE 100
MACUNGIE PA
18062-9613
US

IV. Provider business mailing address

1501 LEHIGH ST
ALLENTOWN PA
18103-3880
US

V. Phone/Fax

Practice location:
  • Phone: 610-967-2772
  • Fax:
Mailing address:
  • Phone: 610-628-8380
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMD429923
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: