Individual
SARA B FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
32 COLONNADE WAY, STATE COLLEGE, PA 16803-2309
(814) 272-4445
(814) 272-4450
Mailing address
500 UNIVERSITY DR, HERSHEY, PA 17033-2360
(800) 243-1455
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MD437015
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1023718890001
—
PA
01
—
129059
GEISINGER HEALTH PLAN
PA
01
—
163899KNC
MEDICARE PTAN
PA
01
—
FE2121236
HIGHMARK BLUE SHIELD
PA
Enumeration date
12/21/2005
Last updated
05/22/2014
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