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Organization

JAMES W FERGUSON MD LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JAMES W FERGUSON MD (OWNER)
(631) 581-2049
Entity
Organization

Contact information

Practice address
170 W MAIN ST, EAST ISLIP, NY 11730-2216
(631) 581-2049
(631) 581-3354
Mailing address
170 W MAIN ST, EAST ISLIP, NY 11730-2216
(631) 581-2049
(631) 581-3354

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
150415
NY

Other

Enumeration date
08/08/2008
Last updated
08/08/2008
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