Provider Demographics
NPI:1831113992
Name:FERRY, FRANCIS THOMAS (MD)
Entity Type:Individual
Prefix:DR
First Name:FRANCIS
Middle Name:THOMAS
Last Name:FERRY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:FRANK
Other - Middle Name:
Other - Last Name:FERRY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:P.O. BOX 191
Mailing Address - Street 2:
Mailing Address - City:ROCKLAND
Mailing Address - State:DE
Mailing Address - Zip Code:19723-0191
Mailing Address - Country:US
Mailing Address - Phone:302-651-4000
Mailing Address - Fax:302-651-4945
Practice Address - Street 1:1 E NEW YORK AVE
Practice Address - Street 2:SHORE MEMORIAL HOSPITAL INPATIENT PEDIATRICS SERVICE
Practice Address - City:SOMERS POINT
Practice Address - State:NJ
Practice Address - Zip Code:08244-2340
Practice Address - Country:US
Practice Address - Phone:609-926-4258
Practice Address - Fax:609-653-3727
Is Sole Proprietor?:No
Enumeration Date:2006-07-26
Last Update Date:2017-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA04064800208000000X
PAMD027636E208000000X
MDD25889208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ001774123Medicaid
NJ4885601Medicaid
NJC57847Medicare UPIN
NJ113899Medicare ID - Type Unspecified