Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QA0401X | Family Doctor - Addiction Medicine | H0048258 | MD |
NPI | 1144460544 |
---|---|
Provider Name | Dr. James Lee Ferguson JR. |
First Address | Chalfont, PA 18914-3926 |
Second Address | Chalfont, PA 18914-3926 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/02/2009 |
Last Update Date | 13/04/2011 |