Individual
FRANZ FOGT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
51 N 39TH ST, 5 WRIGHT-SAUNDERS, PHILADELPHIA, PA 19104-2640
(215) 662-8077
Mailing address
51 N. 39TH STREET, 5 WRIGHT-SAUNDERS, PHILADELPHIA, PA 19104-4206
(215) 662-8077
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
MD061803L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0016415750004
—
PA
Enumeration date
05/27/2006
Last updated
08/18/2015
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