IndividualActive
Shawn Ferullo, M.D.
NPI 1962476994 · Sports Medicine (Family Medicine) Physician · Cambridge, MA
Provider details
- NPI number
- 1962476994
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 219827 (MA)
Practice location
25 Carleton St
Cambridge, MA 02142-1323
Phone: (617) 253-2974
Fax: (617) 253-5512
Mailing address
77 Massachusetts Ave
Cambridge, MA 02139-4301
Registry dates
- Enumerated
- 2006-02-15
- Last updated
- 2023-11-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.