| Organization Name: | JOHN J LAFERLA, MD PA |
| NPI Number: | 1104072479 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JOHN J LAFERLA (OWNER) |
| Mailing Address: | 202 Coursevall Dr Suite 107 Centreville |
| State: | MD US |
| Postal Code: | 216172804 |
| Phone Number: | 4107581250 |
| Fax Number: | |
| NPI Enumeration Date: | 08/18/2008 |
| NPI Last Update Date: | 10/25/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207VG0400X |
| License Number: | D0057063 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Obstetrics & Gynecology |
| Taxonomy Specialization: | Gynecology |
| Taxonomy Definition: | |