Individual
TIMOTHY JAMES FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
707 E MAIN ST, MIDDLETOWN, NY 10940-2650
(845) 333-7575
(845) 333-7202
Mailing address
707 E MAIN ST, MIDDLETOWN, NY 10940-2650
(845) 333-7575
(845) 333-7202
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
021345
NY
363AM0700X
Medical Physician Assistant
Primary
021345
NY
Other
Enumeration date
09/20/2017
Last updated
04/08/2022
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