Organization
BRENDA J. FOGARTY OD &ASSOC. P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRENDA J FOGARTY O.D. (PRESIDENT)
(603) 893-5288
Entity
Organization
Contact information
Practice address
167 S BROADWAY, SALEM, NH 03079-3309
(603) 893-5288
Mailing address
167 S BROADWAY, SALEM, NH 03079-3309
(603) 893-5288
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
NH 472
NH
Other
Enumeration date
08/22/2006
Last updated
10/03/2008
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