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Individual

DANIEL ROBERT FOITL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
445 E 58TH ST, NEW YORK, NY 10022-2302
(212) 838-0270
(212) 753-5329
Mailing address
445 E 58TH ST, NEW YORK, NY 10022-2302
(212) 838-0270
(212) 753-5329

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
175720
NY
207ZD0900X
Dermatopathology (Pathology) Physician
175720
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1730213943
GROUP NPI
01
553291
AETNA
01
NS4331
OXFORD
Enumeration date
07/01/2005
Last updated
07/10/2009
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