Basic Information
Provider Information
NPI: 1275588212
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: FERRY
FirstName: JANE
MiddleName: ANN
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 13700-1432
Address2: GRAND VIEW EMERGENCY MEDICINE ASSOCIATES
City: PHILADELPHIA
State: PA
PostalCode: 191911432
CountryCode: US
TelephoneNumber: 8006662455
FaxNumber: 6106176280
Practice Location
Address1: 700 LAWN AVE
Address2: GRANDVIEW HOSPITAL
City: SELLERSVILLE
State: PA
PostalCode: 18960
CountryCode: US
TelephoneNumber: 2154534000
FaxNumber: 6106176280
Other Information
ProviderEnumerationDate: 05/24/2006
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: X
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207P00000XMD026901EPAY Allopathic & Osteopathic PhysiciansEmergency Medicine 

No ID Information.


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