Provider Demographics
NPI:1952372641
Name:FERRARI, DONALD V (DO)
Entity Type:Individual
Prefix:
First Name:DONALD
Middle Name:V
Last Name:FERRARI
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:154 EXTON SQUARE MALL
Mailing Address - Street 2:
Mailing Address - City:EXTON
Mailing Address - State:PA
Mailing Address - Zip Code:19341-2440
Mailing Address - Country:US
Mailing Address - Phone:484-876-2160
Mailing Address - Fax:484-876-2164
Practice Address - Street 1:154 EXTON SQUARE MALL
Practice Address - Street 2:
Practice Address - City:EXTON
Practice Address - State:PA
Practice Address - Zip Code:19341-2440
Practice Address - Country:US
Practice Address - Phone:484-876-2160
Practice Address - Fax:484-876-2164
Is Sole Proprietor?:No
Enumeration Date:2006-01-30
Last Update Date:2015-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS007366E207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAA60781Medicare UPIN
PA0012447080006Medicaid
PA672622HK1Medicare PIN
PAA60781Medicare UPIN