Individual
DR. EMILY FERGUSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
330 POMFRET ST, PUTNAM, CT 06260-3803
(860) 928-2736
Mailing address
41A GROVE ST, PUTNAM, CT 06260-2107
(860) 963-0313
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036975
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001369752
—
CT
Enumeration date
08/11/2005
Last updated
11/29/2022
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