Organization
FMW MEDSPA INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA FERGUSON (PROVIDER)
(443) 840-9478
Entity
Organization
Contact information
Practice address
110 WEST RD STE 210, TOWSON, MD 21204-2341
(443) 840-9478
Mailing address
110 WEST RD STE 210, TOWSON, MD 21204-2341
(443) 840-9478
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
847503200
—
MD
Enumeration date
04/10/2020
Last updated
09/23/2025
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