Individual
AMY E FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 GENERAL WING RD, CHCRR PEDIATRICS, RUTLAND, VT 05701-4681
(802) 773-9131
(802) 773-1551
Mailing address
71 ALLEN ST, STE 403, RUTLAND, VT 05701-4570
(802) 772-4414
(802) 772-7973
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
042-0009717
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04312281
—
NY
05
—
1006417
—
VT
05
—
30200039
—
NH
Enumeration date
07/26/2006
Last updated
08/26/2016
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