Provider Demographics
NPI:1336351832
Name:FERA, DENNIS WILLIAM (MD)
Entity type:Individual
Prefix:DR
First Name:DENNIS
Middle Name:WILLIAM
Last Name:FERA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1000 CORPORATE DRIVE
Mailing Address - Street 2:SUITE 209
Mailing Address - City:HILLSBOROUGH
Mailing Address - State:NC
Mailing Address - Zip Code:27278
Mailing Address - Country:US
Mailing Address - Phone:919-732-2287
Mailing Address - Fax:919-732-3176
Practice Address - Street 1:1000 CORPORATE DRIVE
Practice Address - Street 2:SUITE 209
Practice Address - City:HILLSBOROUGH
Practice Address - State:NC
Practice Address - Zip Code:27278
Practice Address - Country:US
Practice Address - Phone:919-732-2287
Practice Address - Fax:919-732-3176
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-04
Last Update Date:2007-07-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NC32234208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
F34874Medicare UPIN