Individual
DR. ROBERT A FOGARI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3053 KENNEDY BLVD, JERSEY CITY, NJ 07306
(201) 795-2999
(201) 795-5211
Mailing address
3053 KENNEDY BLVD, JERSEY CITY, NJ 07306
(201) 795-2999
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25MA02972800
NJ
207RR0500X
Rheumatology Physician
Primary
25MA02972800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19524999006
NPI
NJ
05
—
4723902
—
NJ
Enumeration date
10/11/2006
Last updated
07/16/2019
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