Provider Demographics
NPI:1679764492
Name:FERIA, GERALDINE GO (MD)
Entity type:Individual
Prefix:DR
First Name:GERALDINE
Middle Name:GO
Last Name:FERIA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:218 DUNDEE ST
Mailing Address - Street 2:
Mailing Address - City:VALPARAISO
Mailing Address - State:IN
Mailing Address - Zip Code:46385-7738
Mailing Address - Country:US
Mailing Address - Phone:219-252-2507
Mailing Address - Fax:219-733-2377
Practice Address - Street 1:306 SOUTH OHIO ST
Practice Address - Street 2:
Practice Address - City:WANATAH
Practice Address - State:IN
Practice Address - Zip Code:46390
Practice Address - Country:US
Practice Address - Phone:219-733-2755
Practice Address - Fax:219-733-2377
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-06
Last Update Date:2020-09-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IN01068503A208000000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics