Ferullo, Shawn M

Ferullo, Shawn M is an individual health care provider with primary practice located at 25 Carleton St , Cambridge MA 02142-1323. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Ferullo, Shawn M can be contacted via phone (617) 253-2974.

Contact Information

Primary practice address
25 Carleton St Cambridge MA 02142-1323
Phone: (617) 253-2974
Fax: (617) 253-5512
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 219827 Massachusetts
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 219827 Massachusetts

Profile Details

NPI number 1962476994
LBN Legal business name Ferullo, Shawn M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2006
Last updated Nov 20th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962476994 NPPES
Massachusetts MEDICAID 2037106

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