Provider Demographics
NPI:1831267426
Name:FERGUSSON, PAULA NOFFSINGER (MD)
Entity type:Individual
Prefix:DR
First Name:PAULA
Middle Name:NOFFSINGER
Last Name:FERGUSSON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MISS
Other - First Name:PAULA
Other - Middle Name:ANNE
Other - Last Name:NOFFSINGER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:46165 WESTLAKE DR
Mailing Address - Street 2:SUITE 210
Mailing Address - City:POTOMAC FALLS
Mailing Address - State:VA
Mailing Address - Zip Code:20165
Mailing Address - Country:US
Mailing Address - Phone:703-433-1555
Mailing Address - Fax:703-444-9830
Practice Address - Street 1:46165 WESTLAKE DR
Practice Address - Street 2:SUITE 210
Practice Address - City:POTOMAC FALLS
Practice Address - State:VA
Practice Address - Zip Code:20165
Practice Address - Country:US
Practice Address - Phone:703-433-1555
Practice Address - Fax:703-444-9830
Is Sole Proprietor?:No
Enumeration Date:2006-12-01
Last Update Date:2023-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101042351208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics