Provider Demographics
NPI:1811954951
Name:FERRARI, CYNTHIA S (PA)
Entity type:Individual
Prefix:MRS
First Name:CYNTHIA
Middle Name:S
Last Name:FERRARI
Suffix:
Gender:F
Credentials:PA
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Mailing Address - Street 1:4959 OLD STREET ROAD
Mailing Address - Street 2:
Mailing Address - City:TREVOSE
Mailing Address - State:PA
Mailing Address - Zip Code:19053
Mailing Address - Country:US
Mailing Address - Phone:267-288-5601
Mailing Address - Fax:267-288-5605
Practice Address - Street 1:1399 HORIZON DRIVE
Practice Address - Street 2:
Practice Address - City:CHALFONT
Practice Address - State:PA
Practice Address - Zip Code:18914
Practice Address - Country:US
Practice Address - Phone:215-489-9170
Practice Address - Fax:215-489-9174
Is Sole Proprietor?:No
Enumeration Date:2006-05-01
Last Update Date:2015-12-31
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAMA002987L363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA102225L27Medicare PIN