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Individual

AMY E FERGUSON

Active
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Individual

AMY E FERGUSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
042-0009717
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04312281
—
NY
05
—
1006417
—
VT
05
—
30200039
—
NH
Enumeration date
07/26/2006
Last updated
08/26/2016
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