Individual
MR. ERICH A FOGG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
112 SANFORD RD, WELLS, ME 04090-5533
(207) 641-8100
(207) 641-8102
Mailing address
15 HOSPITAL DRIVE, MEDICAL STAFF OFFICE, YORK, ME 03909-1011
(207) 351-2478
(207) 351-2153
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-763
ME
Other
Enumeration date
10/03/2006
Last updated
12/02/2009
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