Individual
MR. TRAVIS CHRISTOPHER FOGELMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
4755 OGLETOWN STANTON RD STE 2670, NEWARK, DE 19718-1763
(302) 733-2438
Mailing address
200 HYGEIA DR STE 2300, NEWARK, DE 19713-2049
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
PA
Other
Enumeration date
06/21/2010
Last updated
01/28/2019
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