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Organization
FERGUSON LIFE HEALTH CENTERS OF NEW JERSEY
Active
Organization
FERGUSON LIFE HEALTH CENTERS OF NEW JERSEY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEREK D FERGUSON (OWNER)
(201) 716-9199
Entity
Organization
Contact information
Practice address
375 ROUTE 10, WHIPPANY, NJ 07981-2115
(973) 210-3838
(973) 947-7009
Mailing address
375 ROUTE 10, WHIPPANY, NJ 07981-2115
(973) 210-3838
(973) 947-7009
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
NULL
111N00000X
Chiropractor
—
—
111NR0400X
Rehabilitation Chiropractor
—
NULL
111NR0400X
Rehabilitation Chiropractor
—
—
207Q00000X
Family Medicine Physician
—
NULL
207Q00000X
Family Medicine Physician
—
—
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
NULL
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
—
208D00000X
General Practice Physician
—
NULL
208D00000X
General Practice Physician
—
—
261QU0200X
Urgent Care Clinic/Center
—
NULL
Other
Enumeration date
03/05/2018
Last updated
09/10/2021
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