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Individual

CHRISTOPHER M FOGLIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
5645 MAIN ST, W-LL300, FLUSHING, NY 11355-5045
(718) 445-0220
(718) 939-1167
Mailing address
5645 MAIN ST, W-LL300, FLUSHING, NY 11355-5045
(718) 445-0220
(718) 939-1167

Taxonomy

Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
226954
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02805732
NY
01
044582
MEDICAL LICENSE
CT
Enumeration date
07/21/2006
Last updated
11/07/2024
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