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Contact Information

KEVIN FERENCHAK, MD
243 CHARLES ST
BOSTON, MA02114-3002
 Phone: 617-573-6917
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ophthalmology

207W00000X 18 Physician/Ophthalmology
 

Retina Specialist

207WX0107X 18 Physician/Ophthalmology
Indicates primary specialty

NPI Profile & details for KEVIN FERENCHAK · (Male)

NPI Number 1417368648
Status Active
Credentials MD
Entity Individual
Enumeration date 05/09/2014
Last updated 01/16/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • GA License # 92369
  • MA License # 279076
  • MN License # 67470
Hospital affiliation(s)
  • ST MARYS HOSPITAL - (Acute Care)
    1216 SECOND STREET SOUTHWEST
    ROCHESTER, MN 55902
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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