Individual
DR. IAN DAVID FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
789 HOWARD AVE, DC-014, NEW HAVEN, CT 06519-1304
(203) 688-2475
Mailing address
789 HOWARD AVE, DC-014, NEW HAVEN, CT 06519-1304
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
054028
CT
2080P0216X
Pediatric Rheumatology Physician
Primary
054028
CT
Other
Enumeration date
06/23/2009
Last updated
12/08/2015
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