Michael David Ferretta Jr.
Military Health Care Provider, Independent Duty Corpsman in Fpo, AE. Individual provider (NPI-1).
NPI number1972562007
StatusActive
Last updated in NPPESJan 19, 2010
Details
- NPI
- 1972562007
- Entity type
- Individual (NPI-1)
- Name
- Michael David Ferretta Jr.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 18, 2006
- Last updated
- Jan 19, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1710I1002X | Military Health Care Provider, Independent Duty Corpsman | – | – | Yes |
Practice location
Uss Gonzalez Ddg 66Medical Department
Fpo, AE 09570-1284
Phone 757-445-6269
Mailing address
Uss Gonzalez Ddg 66Medical Department
Fpo, AE 09570-1284
Phone 757-445-6269
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