Individual
DR. ILAN MEIR FOGEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
28 1ST ST, STAMFORD, CT 06905-5101
(203) 554-3854
Mailing address
28 1ST ST, STAMFORD, CT 06905-5101
(203) 554-3854
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
053949
CT
Other
Enumeration date
06/04/2015
Last updated
06/04/2015
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