Individual
MARK ANTHONY FOGLIETTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
22901 MILLCREEK BLVD, SUITE 145, BEACHWOOD, OH 44122-5728
(216) 292-6800
(216) 292-7775
Mailing address
22901 MILLCREEK BLVD, SUITE 145, BEACHWOOD, OH 44122-5728
(216) 292-6800
(216) 292-7775
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
34003551F
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0550498
—
OH
Enumeration date
08/31/2005
Last updated
03/03/2008
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