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Individual

CHARLES WILLIAM FOGIE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
ATC, DC

Contact information

Practice address
355 NEW BRITAIN RD, KENSINGTON, CT 06037-1318
(860) 505-7278
Mailing address
5 CEDAR HILL DR, PROSPECT, CT 06712-1006
(203) 758-4490

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2342
CT
2255A2300X
Athletic Trainer

Other

Enumeration date
01/15/2019
Last updated
02/10/2025
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