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Individual
DR. JAMES DANIEL FOGARTY
Active
Individual
DR. JAMES DANIEL FOGARTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
DO983
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000254045
UNISON HEALTH PLAN
SC
05
—
009831
—
SC
05
—
5919732
—
NC
01
—
775936
WELLCARE
SC
01
—
8495790
CIGNA
SC
01
—
9041280
AETNA
SC
05
—
GP4522
—
SC
01
—
P00605413
RAILROAD MEDICARE
SC
Enumeration date
05/23/2006
Last updated
12/29/2016
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