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NPI Code Detail

MEDICARE: ANGELA ROSEMARIE FERGUSON

MEDICARE: ANGELA ROSEMARIE FERGUSON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1372600000XAdult Companion

General Provider Information

NPI Number : 1235893892
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANGELA ROSEMARIE FERGUSON
Provider Business Mailing Address
First Line : 13300 BLACK DUCK CT
Second Line :
City : UPPER MARLBORO
State : MD
Zip : 20774-7011
Country : US
Telephone Number : 202-710-7861
Fax Number :
Provider Business Practice Location Address
First Line : 930 FARRAGUT ST NW APT 312
Second Line :
City : WASHINGTON
State : DC
Zip : 20011-3997
Country : US
Telephone Number : 202-710-7861
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/28/2021
Last Update Date : 10/28/2021

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Directions to “ ANGELA ROSEMARIE FERGUSON ” Practice Location

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