Provider Demographics
NPI:1790732915
Name:FERREIRA, ARTURO JOSE (MD)
Entity Type:Individual
Prefix:
First Name:ARTURO
Middle Name:JOSE
Last Name:FERREIRA
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 1:4955 FRANKFORD AVE
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19124-2643
Mailing Address - Country:US
Mailing Address - Phone:215-831-1846
Mailing Address - Fax:215-938-6048
Practice Address - Street 1:4955 FRANKFORD AVE
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19124-2643
Practice Address - Country:US
Practice Address - Phone:215-831-1846
Practice Address - Fax:215-938-6048
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD034676-L207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA112751Medicare ID - Type UnspecifiedPHYSICIAN