Individual
KAREEM FERGUSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8 RHODE ISLAND LN, GROTON, CT 06340-6134
(301) 377-6514
Mailing address
8 RHODE ISLAND LN, GROTON, CT 06340-6134
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
01/02/2013
Last updated
01/02/2013
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