Ferullo, John A
Ferullo, John A is an individual health care provider with primary practice located at 123 Summer St Suite #655, Worcester MA 01608-1216. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Ferullo, John A can be contacted via phone (508) 363-9335.Contact Information
Primary practice address
123 Summer St Suite #655
Worcester MA 01608-1216
Phone: (508) 363-9335
Fax: (508) 363-6111
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 42974 | Massachusetts |
Profile Details
| NPI number | 1528056439 |
|---|---|
| LBN Legal business name | Ferullo, John A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 13th, 2005 |
| Last updated | May 14th, 2012 - about 13 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 | 1528056439 | NPPES |
| Massachusetts | MEDICAID | 2072432 | |
| Massachusetts | Other | 448620 | |
| Massachusetts | Other | 983631 | |
| Massachusetts | Other | 0000808 | |
| Massachusetts | Other | 042974 | |
| Massachusetts | Other | 060050947 | |
| Massachusetts | Other | 19068 | |
| Massachusetts | Other | 2580562 | |
| Massachusetts | Other | 3577 | |
| Massachusetts | Other | 4589594 | |
| Massachusetts | Other | M17087 | |
| Massachusetts | Other | 2039033 |
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