Provider Demographics
NPI:1508869439
Name:FERREIRA, MARIA L
Entity Type:Individual
Prefix:MS
First Name:MARIA
Middle Name:L
Last Name:FERREIRA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 HOSPITAL DR
Mailing Address - Street 2:STE 201
Mailing Address - City:HOLYOKE
Mailing Address - State:MA
Mailing Address - Zip Code:01040-6614
Mailing Address - Country:US
Mailing Address - Phone:413-536-8670
Mailing Address - Fax:413-534-0597
Practice Address - Street 1:2 HOSPITAL DR
Practice Address - Street 2:STE 201
Practice Address - City:HOLYOKE
Practice Address - State:MA
Practice Address - Zip Code:01040-6614
Practice Address - Country:US
Practice Address - Phone:413-536-8670
Practice Address - Fax:413-534-0597
Is Sole Proprietor?:No
Enumeration Date:2005-05-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA5834156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician