Provider Demographics
NPI:1649269523
Name:FERRANTE, JOHN III (MD)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:
Last Name:FERRANTE
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:100 HIGHLAND ST
Mailing Address - Street 2:106
Mailing Address - City:MILTON
Mailing Address - State:MA
Mailing Address - Zip Code:02186-3881
Mailing Address - Country:US
Mailing Address - Phone:617-313-1500
Mailing Address - Fax:617-690-3348
Practice Address - Street 1:100 HIGHLAND ST
Practice Address - Street 2:SUITE 106
Practice Address - City:MILTON
Practice Address - State:MA
Practice Address - Zip Code:02186-3881
Practice Address - Country:US
Practice Address - Phone:617-313-1500
Practice Address - Fax:617-313-1500
Is Sole Proprietor?:No
Enumeration Date:2005-10-14
Last Update Date:2012-06-05
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA153853207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0401568OtherUNITED HEALTHCARE OF NE
MA153853OtherTUFTS ASSOCIATED HEALTH P
MA000000020221OtherBOSTON HEALTH NET
MA0023703OtherNEIGHBORHOOD HEALTH PLAN
MA2055607OtherAAETNA US HEALTHCARE
MA66474OtherHARVARD PILGRIM HEALTH CA
110231017OtherRAILROAD MEDICARE
B10220001OtherCIGNA HEALTHCARE
MA3170918Medicaid
MAG62001Medicare UPIN
MA0023703OtherNEIGHBORHOOD HEALTH PLAN