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Individual

DR. LAWRENCE JACK FOGELSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
7801 YORK RD, SUITE 133, TOWSON, MD 21204-7446
(410) 339-7447
(410) 339-3684
Mailing address
8110 MAPLE LAWN BLVD STE 235, FULTON, MD 20759-2694
(301) 340-8339
(301) 340-9027

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
D57561
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
699705800
MD
Enumeration date
07/26/2006
Last updated
10/09/2023
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