Shawn M Ferullo, MD
Family Medicine, Sports Medicine in Cambridge, Massachusetts
1962476994- Practice location
- 25 Carleton St, Cambridge, MA 02142-1323
- Phone
- 617-253-2974
- Fax
- 617-253-5512
- Last updated
- November 20, 2023
Shawn M Ferullo is a Family Medicine, Sports Medicine based in Cambridge, MA. Shawn M Ferullo practices in Cambridge, MA and has the professional credentials of MD. The NPI Number for Shawn M Ferullo is 1962476994 and holds a License No. 219827 (MA). The current practice location address for Shawn M Ferullo is 25 Carleton St, Cambridge, MA 02142-1323 and can be reached out via phone at 617-253-2974 and via fax at 617-253-5512.
Provider Profile Details
- NPI Number
- 1962476994
- Provider Name
- Shawn M Ferullo
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 25 Carleton St, Cambridge, MA 02142-1323
- Phone Number
- 617-253-2974
- Fax Number
- 617-253-5512
- Primary Taxonomy
- Family Medicine, Sports Medicine · 207QS0010X
- Sole Proprietor
- No
- Provider Enumeration Date
- February 15, 2006
- Last Update Date
- November 20, 2023
- Certification Date
- November 20, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 25 Carleton St
Cambridge, MA 02142-1323 - City
- Cambridge
- State
- Massachusetts
- Zip
- 02142-1323
- Phone Number
- 617-253-2974
- Fax Number
- 617-253-5512
Provider Business Mailing Address Details
- Address
- 77 Massachusetts Ave
Massachusetts Institute Of Technology, E23-171
Cambridge, MA 02139-4301 - City
- Cambridge
- State
- MA
- Zip
- 02139-4301
- Phone Number
- 617-253-2974
- Fax Number
- 617-253-5512
License Information
- License Number (1)
- 219827
- License State (1)
- MA
- Taxonomy (1)
- Family Medicine · 207Q00000X
- License Number (2)
- 219827
- License State (2)
- MA
- Taxonomy (2)
- Family Medicine, Sports Medicine · 207QS0010X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Family Medicine, Sports Medicine providers near Cambridge, MA
View all Family Medicine, Sports Medicine providers in Cambridge →- Angelene Elliott, DOFamily Medicine, Sports Medicine · NPI 1700299252
- Christian M Rose, MD, CAQSMFamily Medicine, Sports Medicine · NPI 1194266395
- Dr. Melissa A Mackel, DOFamily Medicine, Sports Medicine · NPI 1437410198
- Leslie A Langston Brain, LICSWSocial Worker, Clinical · NPI 1710162086
- Dr. Kamau Karanja, MDFamily Medicine · NPI 1720147895
- Tessa M Goodrich, PT, DPTPhysical Therapist · NPI 1962302497
Frequently Asked Questions
What is the NPI number of Shawn M Ferullo, MD?
The NPI number of Shawn M Ferullo, MD is 1962476994. It was assigned on February 15, 2006 and is currently active in the NPPES registry.
What is the specialty of Shawn M Ferullo, MD?
Shawn M Ferullo, MD is registered under the primary taxonomy Family Medicine, Sports Medicine (code 207QS0010X), licensed in MA under license number 219827.
Where does Shawn M Ferullo, MD practice?
The practice location is 25 Carleton St, Cambridge, MA 02142-1323. The office can be reached at 617-253-2974 (phone) or 617-253-5512 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1962476994 directly on the NPPES registry website.