Provider Demographics
NPI:1508836339
Name:FERRONI, BRYAN R (DO)
Entity type:Individual
Prefix:DR
First Name:BRYAN
Middle Name:R
Last Name:FERRONI
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:134 BRIDGETON PIKE STE C
Mailing Address - Street 2:
Mailing Address - City:MULLICA HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08062-2616
Mailing Address - Country:US
Mailing Address - Phone:856-507-2783
Mailing Address - Fax:856-221-4138
Practice Address - Street 1:364 BERLIN CROSS KEYS RD
Practice Address - Street 2:
Practice Address - City:WILLIAMSTOWN
Practice Address - State:NJ
Practice Address - Zip Code:08094-3473
Practice Address - Country:US
Practice Address - Phone:856-885-2560
Practice Address - Fax:856-497-5302
Is Sole Proprietor?:No
Enumeration Date:2006-01-24
Last Update Date:2025-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MB06517400207RC0200X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ8318905Medicaid
NJ035756Medicare ID - Type Unspecified
NJ8318905Medicaid