Individual
DR. MICHAEL PATRICK FOGARTY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1011 RICHMOND RD, STATEN ISLAND, NY 10304-2413
(718) 981-1800
Mailing address
26 LONSDALE DR, SOUTH PLAINFIELD, NJ 07080-2128
(908) 753-8266
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
051577
NY
Other
Enumeration date
12/14/2005
Last updated
07/08/2007
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