Individual
DR. PATRICK F FOGARTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3400 CIVIC CENTER BOULEVARD, PHILADELPHIA, PA 19104-5127
(215) 615-5858
(215) 349-8144
Mailing address
3400 CIVIC CENTER BOULEVARD, PHILADELPHIA, PA 19104-5127
(215) 615-5858
(215) 349-8144
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A90097
CA
207RH0003X
Hematology & Oncology Physician
Primary
MD440807
PA
207RX0202X
Medical Oncology Physician
A90097
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A900970
—
CA
Enumeration date
05/05/2006
Last updated
03/28/2012
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