Individual
DR. ALBERT RICHARD FOGLE SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
4727 FRIENDSHIP AVE, SUITE 200, PITTSBURGH, PA 15224-1779
(412) 235-5810
(412) 235-5890
Mailing address
4727 FRIENDSHIP AVE, SUITE 200, PITTSBURGH, PA 15224-1779
(412) 235-5810
(412) 235-5890
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
OS017058
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1029134110001
—
PA
Enumeration date
02/05/2009
Last updated
11/20/2015
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