Shawn M Ferullo in Cambridge - Sports Medicine

Shawn M Ferullo - NPI 1962476994

Shawn M Ferullo is a Sports Medicine in Cambridge, Massachusetts. Shawn M Ferullo practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Shawn M Ferullo is 1962476994. The last update date is 2023-11-20.

Shawn M Ferullo's current location address is 77 Massachusetts Ave, Cambridge, Massachusetts. You can contact this provider via phone number 6172532974 and fax number 6172535512. The mailing address for Shawn M Ferullo is 77 Massachusetts Ave, Cambridge, Massachusetts. To know further, please read the information below!

Provider Profile Detail

Provider Name Shawn M Ferullo
Address 77 Massachusetts Ave, Cambridge, Massachusetts
Phone Number 6172532974
Fax Number 6172535512
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1962476994
Provider Enumeration Date 2006-02-15
Last Updated Date 2023-11-20

Provider Mailing Address Detail

Address 77 Massachusetts Ave
City Cambridge
State Massachusetts (MA)
Post Code 21394301
Phone Number 6172532974
Fax Number 6172535512

Provider's Primary Taxonomy Detail

Speciality Sports Medicine
Taxonomy 207Qs0010X
Licence No 219827
Definition:
A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
2037106 MA --

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FAQs about Shawn M Ferullo

What is the unique 10-digit identifier code assigned to Shawn M Ferullo by the Centers for Medicare & Medicaid Services?

The Shawn M Ferullo has been issued the NPI (National Provider Identifier) 1962476994 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please share the complete physical location address where Shawn M Ferullo's facilities are situated?

The facilities of Shawn M Ferullo are physically located at the following address: 77 Massachusetts Ave, Cambridge, MA, 21394301.

What is Shawn M Ferullo's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Shawn M Ferullo is Sports Medicine, and the taxonomy code that classifies this field of practice is 207Qs0010X.

On what date was the 1962476994 assigned to Shawn M Ferullo?

The Shawn M Ferullo was issued its 1962476994 on 2006-02-15, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the Shawn M Ferullo's details last updated?

The information pertaining to the Shawn M Ferullo, including its address, specialty, and other details, was most recently updated on 2023-11-20.

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