Individual
DR. JOHN C FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
28 CENTRE DR, MILTON, VT 05468-3104
(802) 847-4322
Mailing address
PO BOX 1063, BURLINGTON, VT 05402-1063
(802) 847-4322
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0420006196
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0005120
—
VT
05
—
02045614
—
NY
Enumeration date
07/25/2006
Last updated
01/06/2010
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