# EMILY FERGUSON MD LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225344781
- **Authorized official:** DR. EMILY FERGUSON M.D. (PHYSICIAN)
- **Authorized official phone:** (860) 963-0313

## Contact information

- **Practice address:** 41A GROVE ST, PUTNAM, CT 06260-2107
- **Practice address phone:** (860) 963-0313
- **Mailing address:** 41A GROVE ST, PUTNAM, CT 06260-2107

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 036975 | CT | Yes |

## Other

- **Enumeration date:** 08/23/2010
- **Last updated:** 07/26/2013