Susan Callaway Ferguson in Oakland Ca - Addiction Medicine
Susan Callaway Ferguson - NPI 1093756678
Susan Callaway Ferguson is a Addiction Medicine in Oakland Ca, California. Susan Callaway Ferguson practices all healthcare services and medical treatments related to Addiction Medicine. The NPI Number for Susan Callaway Ferguson is 1093756678. The last update date is 2014-03-04.
Susan Callaway Ferguson's current location address is 616 16th St, Oakland Ca, California. You can contact this provider via phone number 5104514270 and fax number 5104514285. The mailing address for Susan Callaway Ferguson is 616 16th St, Oakland Ca, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan Callaway Ferguson |
|---|---|
| Address | 616 16th St, Oakland Ca, California |
| Phone Number | 5104514270 |
| Fax Number | 5104514285 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1093756678 |
|---|---|
| Provider Enumeration Date | 2006-06-08 |
| Last Updated Date | 2014-03-04 |
Provider Mailing Address Detail
| Address | 616 16th St |
|---|---|
| City | Oakland Ca |
| State | California (CA) |
| Post Code | 94612 |
| Phone Number | 5104514270 |
| Fax Number | 5104514285 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction Medicine |
|---|---|
| Taxonomy | 207Ra0401X |
| Licence No | A68471 |
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Definition: An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualification |
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What is the Susan Callaway Ferguson's 1093756678?
The Susan Callaway Ferguson's NPI (National Provider Identifier) Number is 1093756678. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Susan Callaway Ferguson located?
The Susan Callaway Ferguson is located at 616 16Th St, Oakland Ca, CA 94612.
What is Susan Callaway Ferguson's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Susan Callaway Ferguson's specialized field of practice is Addiction Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207Ra0401X.
On what date did the Susan Callaway Ferguson receive its 1093756678 assignment from the Centers for Medicare & Medicaid Services?
The Susan Callaway Ferguson was assigned its 1093756678 by the Centers for Medicare & Medicaid Services on 2006-06-08.
When was the Susan Callaway Ferguson's information last updated?
The Susan Callaway Ferguson's information was last updated on 2014-03-04.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY