Individual
MICHAEL G. FOGARTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
27400 HESPERIAN BLVD, HAYWARD, CA 94545-4235
(510) 784-4000
Mailing address
1800 HARRISON ST FL 7, OAKLAND, CA 94612-3429
(510) 625-6262
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
20A5709
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00AX57090
—
CA
Enumeration date
11/01/2006
Last updated
07/08/2007
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