Individual
MITCHELL ANDREW FOGEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
900 MADISON AVE, SUITE 209, BRIDGEPORT, CT 06606-5534
(203) 335-0195
(203) 335-7293
Mailing address
900 MADISON AVE, SUITE 209, BRIDGEPORT, CT 06606-5534
(203) 335-0195
(203) 335-7293
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
030630
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001306308
—
CT
Enumeration date
07/14/2005
Last updated
07/09/2015
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