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Individual

NATASHA PAULA FERGUSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
141 FRANKLIN ST, STAMFORD, CT 06901-1014
(203) 969-0802
Mailing address
141 FRANKLIN ST, STAMFORD, CT 06901-1014
(203) 969-0802

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
051765
CT
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
008044310
CT
Enumeration date
08/02/2010
Last updated
12/03/2013
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