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NPI Code Detail

MEDICARE: GERALD JOSEPH FERLAUTO M.D.

MEDICARE: GERALD JOSEPH FERLAUTO M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12080N0001XNeonatal-Perinatal Medicine Physician7933SC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1396776225
Entity Type Code : Individual
Provider Name (Legal Business Name) : GERALD JOSEPH FERLAUTO M.D.
Provider Business Mailing Address
First Line : 1 INDEPENDENCE PT STE 212
Second Line :
City : GREENVILLE
State : SC
Zip : 29615-4536
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 29 NORTH ACADEMY STREET
Second Line :
City : GREENVILLE
State : SC
Zip : 29601-2629
Country : US
Telephone Number : 864-331-1300
Fax Number : 864-331-1447
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/06/2006
Last Update Date : 02/28/2018

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