Organization
SHORE OB GYN, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK THOMAS FOEHR M.D. (PHYSICIAN)
(631) 665-4044
Entity
Organization
Contact information
Practice address
69 WEST MAIN ST., BAY SHORE, NY 11706-8313
(631) 665-4044
(631) 665-3928
Mailing address
69 WEST MAIN ST., BAY SHORE, NY 11706-8313
(631) 665-4044
(631) 665-3928
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
182878
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01569295
—
NY
Enumeration date
11/25/2009
Last updated
11/25/2009
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