Individual
DR. ADAM MICHAEL FOGEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
24 STEVENS ST, NORWALK, CT 06850
(203) 852-2000
Mailing address
515 WEST AVE APT 588, NORWALK, CT 06850-4049
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
61347
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/31/2013
Last updated
07/20/2018
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