Provider Demographics
NPI:1013903400
Name:FERRI, FRED (MD)
Entity Type:Individual
Prefix:DR
First Name:FRED
Middle Name:
Last Name:FERRI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:10 DAVOL SQ
Mailing Address - Street 2:SUITE 400
Mailing Address - City:PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02903-4754
Mailing Address - Country:US
Mailing Address - Phone:401-421-4000
Mailing Address - Fax:401-272-1456
Practice Address - Street 1:1539 ATWOOD AVE
Practice Address - Street 2:SUITE 101
Practice Address - City:JOHNSTON
Practice Address - State:RI
Practice Address - Zip Code:02919-3262
Practice Address - Country:US
Practice Address - Phone:401-272-3410
Practice Address - Fax:401-272-3417
Is Sole Proprietor?:No
Enumeration Date:2005-09-21
Last Update Date:2011-02-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
RIMD06753207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI050483739OtherGREAT WEST HEALTH CARE
RI050483739OtherCIGNA
RIFF22656Medicaid
RI04-00065OtherUNITED HEALTH CARE
RI200758OtherBLUE CHIP
RI20396OtherBCBS OF RI
RI69830OtherHARVARD HEALTH PLAN
RI050483739OtherHEALTH NET TRI CARE
RI110076290OtherRAILROAD MEDICARE
RI12122581OtherMULTI PLAN
RI12122581OtherMULTI PLAN
RI200758OtherBLUE CHIP
RI20396OtherBCBS OF RI