Provider Demographics
NPI:1629554985
Name:FERRARO, RALPH B
Entity type:Individual
Prefix:
First Name:RALPH
Middle Name:B
Last Name:FERRARO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:134 LAKEVIEW DR
Mailing Address - Street 2:
Mailing Address - City:SCRANTON
Mailing Address - State:PA
Mailing Address - Zip Code:18505-2774
Mailing Address - Country:US
Mailing Address - Phone:570-840-0455
Mailing Address - Fax:
Practice Address - Street 1:134 LAKEVIEW DR
Practice Address - Street 2:
Practice Address - City:SCRANTON
Practice Address - State:PA
Practice Address - Zip Code:18505-2774
Practice Address - Country:US
Practice Address - Phone:570-840-0455
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-19
Last Update Date:2018-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP038216L1835X0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835X0200XPharmacy Service ProvidersPharmacistOncology