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1811993447

NPI Code Detail

MEDICARE: MICHAEL FERRIS MD

MEDICARE: MICHAEL FERRIS MD

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
1	208000000X	Pediatrics Physician	153280	MA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	153280	OTHER		TUFTS BENEFIT ADMINISTRAT
2	3174531	OTHER		MASS HEALTH (DIV OF MEDSV
3	G11682	OTHER		FIRST SENIORITY
4	G11682	OTHER		HARVARD PILGRIM POS
5	G11682	OTHER		HARVARD PILGRIM
6	J18335	OTHER		BS-BLUECARE ELECT
7	G11682	OTHER		HARVARD PILGRIM PPO
8	0011199	OTHER		NEIGHBORHOOD HEALTH PLAN
9	153280	OTHER		TUFTS TOTAL HEALTH PLAN
10	J18335	OTHER		HMO BLUE/BLUE CHOICE
11	7999027	OTHER		HEALTHSOURCE MASSACHUSETT
12	27394	OTHER		CHILDRENS MEDICAL SECURIT
13	153280	OTHER		TUFTS
14	12-01710	OTHER		UNITED HEALTHCARE PPO
15	153280	OTHER		TUFTS COMMONWEALTH PPO
16	7999027	OTHER		CIGNA HEALTH CARE
17	J18335	OTHER		BLUE SHIELD INDEMNITY

General Provider Information

NPI Number	:	1811993447
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL FERRIS MD

Provider Business Mailing Address
First Line	:	188 MILL ST
Second Line	:
City	:	BURLINGTON
State	:	MA
Zip	:	01803-1869
Country	:	US
Telephone Number	:	781-221-5653
Fax Number	:

Provider Business Practice Location Address
First Line	:	1 LYONS ST
Second Line	:
City	:	DEDHAM
State	:	MA
Zip	:	02026-5599
Country	:	US
Telephone Number	:	781-329-1400
Fax Number	:	781-278-5667

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/28/2005
Last Update Date	:	03/02/2016

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Directions to “ MICHAEL FERRIS MD” Practice Location

Language	Start Address	Practice Location

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