Individual
DR. FREDERICK STEPHEN FOGELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2221 EDWARD HOLLAND DR, RICHMOND, VA 23230-2518
(804) 354-2697
Mailing address
2221 EDWARD HOLLAND DR, RICHMOND, VA 23230-2518
(804) 354-2697
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
Primary
0101029262
VA
Other
Enumeration date
12/15/2006
Last updated
07/08/2007
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