Individual
MARIA FOGATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
100 WEST AVENUE 210S, JENKINTOWN, PA 19046-2625
(215) 726-3845
(251) 886-1053
Mailing address
100 WEST AVENUE 210S, JENKINTOWN, PA 19046-2625
(215) 726-3845
(251) 886-1053
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD053767L
PA
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
MD053767L
PA
Other
Enumeration date
10/10/2007
Last updated
03/20/2023
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