Provider Demographics
NPI:1306891072
Name:FUTERFAS, ROSS N (MD)
Entity type:Individual
Prefix:
First Name:ROSS
Middle Name:N
Last Name:FUTERFAS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:525 IRON ST
Mailing Address - Street 2:SUITE D
Mailing Address - City:LEHIGHTON
Mailing Address - State:PA
Mailing Address - Zip Code:18235-1949
Mailing Address - Country:US
Mailing Address - Phone:610-377-3933
Mailing Address - Fax:610-377-5211
Practice Address - Street 1:525 IRON ST
Practice Address - Street 2:SUITE D
Practice Address - City:LEHIGHTON
Practice Address - State:PA
Practice Address - Zip Code:18235-1949
Practice Address - Country:US
Practice Address - Phone:610-377-3933
Practice Address - Fax:610-377-5211
Is Sole Proprietor?:No
Enumeration Date:2006-05-23
Last Update Date:2016-10-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAMD046660L207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0012939090001Medicaid
PAF31253Medicare UPIN