Fergus, Paul M

Fergus, Paul M is an individual health care provider with primary practice located at 521 Mount Auburn St Suite 101, Watertown MA 02472-4191. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Fergus, Paul M can be contacted via phone (617) 924-6484.

Contact Information

Primary practice address
521 Mount Auburn St Suite 101 Watertown MA 02472-4191
Phone: (617) 924-6484
Fax: (617) 924-6142
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 35170 Massachusetts

Profile Details

NPI number 1356336200
LBN Legal business name Fergus, Paul M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 16th, 2005
Last updated Jul 13th, 2026 - about 3 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356336200 NPPES
Massachusetts MEDICAID 2029499

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