Individual
STANLEY ALAN FOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
585 BROADWAY, BROADWAY INTERNAL MEDICINE ASSOCIATES, MASSAPEQUA, NY 11758-5023
(516) 797-1234
(516) 797-1932
Mailing address
585 BROADWAY, MASSAPEQUA, NY 11758-5023
(516) 797-1234
(516) 797-1932
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
122154
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00409196
—
NY
Enumeration date
10/14/2005
Last updated
09/26/2007
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