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Individual

DR. MARK THOMAS FOEHR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
69 WEST MAIN ST, BAY SHORE, NY 11706
(631) 665-4044
(631) 665-3928
Mailing address
69 WEST MAIN ST, BAY SHORE, NY 11706
(631) 665-4044
(631) 665-3928

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
182878
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01569295
NY
Enumeration date
11/01/2006
Last updated
08/25/2009
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