Individual
C DOUGLAS FOGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4499 ACUSHNET AVE, NEW BEDFORD REHABILITATION HOSPITAL, NEW BEDFORD, MA 02745
(508) 985-9082
(508) 995-0742
Mailing address
55 HIDDEN BAY DRIVE, SOUTH DARTMOUTH, MA 02748
(508) 993-1317
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
33680
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0162361
—
MA
Enumeration date
05/01/2006
Last updated
07/13/2026
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