Individual
MRS. NINOSKA FERGUSSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
5301 BROADWAY, WEST NEW YORK, NJ 07093-2622
(201) 866-9320
Mailing address
111 DOUGLAS DR, TOWNSHIP OF WASHINGTON, NJ 07676-4503
(201) 344-5195
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
DI02074900
NJ
Other
Enumeration date
06/13/2006
Last updated
03/13/2012
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