Ferris, Timothy Gregg
Ferris, Timothy Gregg is an individual health care provider with primary practice located at 15 Parkman St Wang 616, Boston MA 02114-3117. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Ferris, Timothy Gregg can be contacted via phone (617) 726-3456.Contact Information
Primary practice address
15 Parkman St Wang 616
Boston MA 02114-3117
Phone: (617) 726-3456
Fax: (617) 724-9666
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 151323 | Massachusetts |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 151323 | Massachusetts |
Profile Details
| NPI number | 1447240189 |
|---|---|
| LBN Legal business name | Ferris, Timothy Gregg |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 25th, 2005 |
| Last updated | Apr 30th, 2014 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1447240189 | NPPES |
| Massachusetts | Other | 151323 | TUFTS HEALTH PLAN |
| Massachusetts | MEDICAID | 3160092 | TUFTS HEALTH PLAN |
| Massachusetts | Other | J17453 | TUFTS HEALTH PLAN |
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