Individual
MS. SUSAN CALLAWAY FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
616 16TH ST, OAKLAND, CA 94612
(510) 451-4270
(510) 451-4285
Mailing address
616 16TH ST, OAKLAND CA, CA 94612
(510) 451-4270
(510) 451-4285
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A68471
CA
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
A68471
CA
Other
Enumeration date
06/08/2006
Last updated
03/04/2014
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