Healthcare Provider Details

I. General information

NPI: 1922285345
Provider Name (Legal Business Name): DARDO ENRIQUE FERRARA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/28/2008
Last Update Date: 04/11/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2979 SQUALICUM PKWY SUITE 101
BELLINGHAM WA
98225-1811
US

IV. Provider business mailing address

1115 SE 164TH AVE DEPT. 358
VANCOUVER WA
98683-9324
US

V. Phone/Fax

Practice location:
  • Phone: 360-734-2700
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0001X
TaxonomyClinical Cardiac Electrophysiology Physician
License NumberMD 60212452
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: