Matthew I Fogg
Allergist & Immunologist
470 Sentry Pkwy E Ste 200
Blue Bell
, Pennsylvania 19422-2324
Matthew I Fogg
Allergist & Immunologist
470 Sentry Pkwy E Ste 200
Blue Bell
, Pennsylvania 19422-2324
(610) 397-0980
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About
Features
Specialties
- Allergist & Immunologist
Languages spoken
- English
Location
First Address
- Matthew I Fogg
- 470 Sentry Pkwy E Ste 200
- Blue Bell, PA
- Zip : 19422-2324
- Fax : (610) 397-0980
- Phone : (610) 825-5800
Second Address
- Matthew I Fogg
- 470 Sentry Pkwy E Ste 200
- Blue Bell, PA
- Zip : 19422-2324
- Fax : (610) 397-0980
- Phone : (610) 825-5800
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207K00000X | Allergist & Immunologist | MD417599 | PA |
National Provider Identifier
| NPI | 1114920220 |
|---|---|
| Provider Name | Matthew I Fogg |
| First Address | Blue Bell, PA 19422-2324 |
| Second Address | Blue Bell, PA 19422-2324 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/05/2005 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.