Individual
BENJAMIN NUSSBAUM FOGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
35 HOPE DR STE 102, HERSHEY, PA 17033-2086
(717) 531-7300
(717) 531-3527
Mailing address
PO BOX 858, HERSHEY, PA 17033-0858
(800) 243-1455
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
250822
MA
208000000X
Pediatrics Physician
Primary
MD451777
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1029757460001
—
PA
01
—
MD451777
MEDICAL LICENSE
PA
Enumeration date
07/21/2009
Last updated
12/03/2018
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