MEDICARE: DONALD V FERRARI D.O.

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	207RC0000X	Cardiovascular Disease Physician	OS007366E	PA

General Provider Information

NPI Number	:	1952372641
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DONALD V FERRARI D.O.

Provider Business Mailing Address
First Line	:	154 EXTON SQUARE MALL
Second Line	:
City	:	EXTON
State	:	PA
Zip	:	19341-2440
Country	:	US
Telephone Number	:	484-876-2160
Fax Number	:	484-876-2164

Provider Business Practice Location Address
First Line	:	154 EXTON SQUARE MALL
Second Line	:
City	:	EXTON
State	:	PA
Zip	:	19341-2440
Country	:	US
Telephone Number	:	484-876-2160
Fax Number	:	484-876-2164

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

Provider Enumeration Date	:	01/30/2006
Last Update Date	:	10/08/2015

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