Provider Demographics
NPI:1437154192
Name:FERRANTE, MAURICE ANDREW (MD)
Entity Type:Individual
Prefix:DR
First Name:MAURICE
Middle Name:ANDREW
Last Name:FERRANTE
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 1:8 MOUNTAIN BLVD
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:NJ
Mailing Address - Zip Code:07059-2638
Mailing Address - Country:US
Mailing Address - Phone:908-561-8600
Mailing Address - Fax:
Practice Address - Street 1:34 MOUNTAIN BLVD
Practice Address - Street 2:
Practice Address - City:WARREN
Practice Address - State:NJ
Practice Address - Zip Code:07059-2640
Practice Address - Country:US
Practice Address - Phone:908-561-8600
Practice Address - Fax:908-561-7265
Is Sole Proprietor?:No
Enumeration Date:2005-06-17
Last Update Date:2016-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA72071207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJE61656Medicare UPIN
NJ046732MHBMedicare ID - Type Unspecified