Provider Demographics
NPI:1841265840
Name:RAMOS, MARYANN F (PA)
Entity type:Individual
Prefix:
First Name:MARYANN
Middle Name:F
Last Name:RAMOS
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:MARYANN
Other - Middle Name:TERESA
Other - Last Name:FERRARA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA
Mailing Address - Street 1:35 HOMESTEAD RD
Mailing Address - Street 2:
Mailing Address - City:GREENWICH
Mailing Address - State:CT
Mailing Address - Zip Code:06831-4222
Mailing Address - Country:US
Mailing Address - Phone:203-531-5022
Mailing Address - Fax:203-531-5022
Practice Address - Street 1:226 MILL HILL AVE
Practice Address - Street 2:BRIDGEPORT HOSPITAL INDUSTRIAL MEDICINE CENTER
Practice Address - City:BRIDGEPORT
Practice Address - State:CT
Practice Address - Zip Code:06610-0120
Practice Address - Country:US
Practice Address - Phone:203-384-3613
Practice Address - Fax:203-384-4234
Is Sole Proprietor?:No
Enumeration Date:2006-02-22
Last Update Date:2008-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
363AM0700X
CT002120363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical