Individual
TRAVIS FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1830 E MONUMENT ST FL 5, BALTIMORE, MD 21287-0020
(410) 550-5864
(410) 367-2376
Mailing address
6201 GREENLEIGH AVE, MIDDLE RIVER, MD 21220-2004
(410) 933-6423
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
LL39521
SC
207RP1001X
Pulmonary Disease Physician
Primary
D93779
MD
Other
Enumeration date
06/01/2016
Last updated
06/16/2022
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