Individual
DR. MITCHELL FERGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
33 CLYDE RD, SUITE 102, SOMERSET, NJ 08873-5032
(732) 873-9200
(732) 873-1699
Mailing address
33 CLYDE RD, SUITE 102, SOMERSET, NJ 08873-5032
(732) 873-9200
(732) 873-1699
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
25MA03204300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0099027000
AMERIHEALTH #
NJ
01
—
0K3007
HEALTHNET #
NJ
01
—
110083490
RAILROAD MDCR #
NJ
05
—
1175203
—
NJ
01
—
15235
AMERICAID #
NJ
01
—
2243283
AETNA HMO #
NJ
01
—
2499585
GHI PPO #
NJ
01
—
4093715
AETNA PPO #
NJ
01
—
40A653
EMPIRE BC/BS SOMERSET #
NJ
01
—
4V5041
EMPIRE BC/BS E. BRUNS. #
NJ
01
—
TS058
OXFORD #
NJ
Enumeration date
07/07/2005
Last updated
07/26/2011
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