Individual
LAURA THERESA FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3600 SPRUCE ST, 839 WEST GATES, PHILADELPHIA, PA 19104-4238
(215) 614-0871
Mailing address
3600 SPRUCE ST, 839 WEST GATES, PHILADELPHIA, PA 19104-4238
(215) 614-0871
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD465855
PA
207RP1001X
Pulmonary Disease Physician
MD465855
PA
Other
Enumeration date
03/26/2013
Last updated
12/08/2023
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