Provider Demographics
NPI:1144241951
Name:FERBER, RICHARD A (MD)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:A
Last Name:FERBER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3416 BROWN ST, NW
Mailing Address - Street 2:APT B
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20010-1897
Mailing Address - Country:US
Mailing Address - Phone:617-519-9300
Mailing Address - Fax:413-812-0007
Practice Address - Street 1:3416 BROWN ST NW
Practice Address - Street 2:APT B
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20010-1897
Practice Address - Country:US
Practice Address - Phone:617-519-9300
Practice Address - Fax:413-812-0007
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-21
Last Update Date:2016-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA37111208000000X
DCMD0398652080S0012X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No2080S0012XAllopathic & Osteopathic PhysiciansPediatricsSleep Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0137375Medicaid
MA0137375Medicaid
B33581Medicare ID - Type Unspecified