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Individual

EUGENE J FERGUSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
150 E PENNSYLVANIA AVE STE 200, DOWNINGTOWN, PA 19335
(610) 280-7960
(610) 280-7962
Mailing address
150 E PENNSYLVANIA AVE STE 200, DOWNINGTOWN, PA 19335-2602
(610) 280-7960
(610) 280-7962

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD453556
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
010211494
ME
Enumeration date
01/19/2006
Last updated
12/11/2019
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