Basic Information
Provider Information
NPI: 1316901341
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: FERRARO
FirstName: EUGENE
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 859207
Address2:  
City: BRAINTREE
State: MA
PostalCode: 021859207
CountryCode: US
TelephoneNumber: 8009270002
FaxNumber:  
Practice Location
Address1: 100 TER HEUN DR
Address2: FALMOUTH HOSPITAL, DEPT. OF PATHOLOGY
City: FALMOUTH
State: MA
PostalCode: 025402503
CountryCode: US
TelephoneNumber: 5084573536
FaxNumber: 5084573641
Other Information
ProviderEnumerationDate: 04/14/2006
LastUpdateDate: 12/14/2009
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207ZP0102X155836MAY Allopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology

ID Information
IDTypeStateIssuerDescription
318903105MA MEDICAID
3481701MAHARVARD PILGRIMOTHER
79146801MATUFTS HEALTH PLANOTHER
J1849301MABAY STATEOTHER
J1849301MABCBS MAOTHER
22002846701MARAILROAD MEDICAREOTHER


Home