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General NPI Number Information
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NPI Number | 1669400248
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Entity Type | Organization
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Legal Business Name | FERRARO MEDICAL ASSOCIATES, PA
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Dates
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Enumeration Date | 06/30/2006
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Last Update Date | 07/09/2010
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Provider Practice Location Address
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Address Line | 414 BROADWAY
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City | PATERSON
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State | NJ
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Zip | 07501-2105
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Country | US
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Telephone | 973-742-1761
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Fax | 973-742-2033
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Provider Business Mailing Address
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Address Line | 414 BROADWAY
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City | PATERSON
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State | NJ
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Zip | 07501-2105
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Country | US
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Telephone | 973-742-1761
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Fax | 973-742-2033
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. LISA FERRARO
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Credential | MD
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Telephone | 973-742-1761
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MA050972
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License Number State | NJ
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