Individual
BERNARD J. FERGUSON IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
365 MONTAUK AVE, NEW LONDON, CT 06320-4700
(860) 442-0711
Mailing address
81 PEARL ST, GROTON, CT 06340-5762
(860) 536-3027
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
026962
CT
207Q00000X
Family Medicine Physician
Primary
026962
CT
Other
Enumeration date
02/15/2006
Last updated
07/07/2020
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