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Individual

JOHN B FERGUSON III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2710 CENTERVILLE RD, STE 102, WILMINGTON, DE 19808-1652
(302) 993-1300
(302) 993-1400
Mailing address
2710 CENTERVILLE RD, STE 102, WILMINGTON, DE 19808-1644
(302) 993-1300
(302) 993-1400

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
DI-0000754
DE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0000157601
DE
Enumeration date
06/17/2005
Last updated
10/25/2012
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