Organization
EMILY FERGUSON MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EMILY FERGUSON M.D. (PHYSICIAN)
(860) 963-0313
Entity
Organization
Contact information
Practice address
41A GROVE ST, PUTNAM, CT 06260-2107
(860) 963-0313
Mailing address
41A GROVE ST, PUTNAM, CT 06260-2107
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036975
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001369752
—
CT
Enumeration date
08/23/2010
Last updated
07/26/2013
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