Provider Demographics
NPI:1487815973
Name:FERRARIS, NINA E (MD)
Entity Type:Individual
Prefix:
First Name:NINA
Middle Name:E
Last Name:FERRARIS
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:6565 NORTH CHARLES STREET
Mailing Address - Street 2:PHYSICIANS PAVILION EAST, SUITE 501
Mailing Address - City:TOWSON
Mailing Address - State:MD
Mailing Address - Zip Code:21204
Mailing Address - Country:US
Mailing Address - Phone:443-849-3130
Mailing Address - Fax:
Practice Address - Street 1:6565 NORTH CHARLES STREET
Practice Address - Street 2:PHYSICIANS PAVILION EAST, SUITE 501
Practice Address - City:TOWSON
Practice Address - State:MD
Practice Address - Zip Code:21204
Practice Address - Country:US
Practice Address - Phone:443-849-3130
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-18
Last Update Date:2018-12-05
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GA080005208600000X
WI61722-20208600000X
MDD0081520208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery