| Emily Ferguson Md Llc | |
|
41a Grove St Putnam CT 06260-2107 | |
| (860) 963-0313 | |
| Not Available |
| Full Name | Emily Ferguson Md Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 41a Grove St, Putnam, Connecticut |
| Authorized Official Name and Position | Emily Ferguson (PHYSICIAN) |
| Authorized Official Contact | 8609630313 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Emily Ferguson Md Llc 41a Grove St Putnam CT 06260-2107 Ph: () - | Emily Ferguson Md Llc 41a Grove St Putnam CT 06260-2107 Ph: (860) 963-0313 |
| NPI Number | 1225344781 |
|---|---|
| Provider Enumeration Date | 08/23/2010 |
| Last Update Date | 07/26/2013 |
| Medicare PECOS PAC ID | 2264556109 |
|---|---|
| Medicare Enrollment ID | O20100831000002 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225344781 | NPI | - | NPPES |
| 001369752 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 036975 (Connecticut) | Primary |
| Provider Name | Emily Ferguson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710989520 PECOS PAC ID: 3173647013 Enrollment ID: I20100831000004 |
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