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NPI Code Detail

MEDICARE: DR. FREDERICK E FOEPPEL M.D.

MEDICARE: DR. FREDERICK E FOEPPEL M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1174400000XSpecialist172144NY
2207R00000XInternal Medicine PhysicianME116076FL

General Provider Information

NPI Number : 1184620668
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. FREDERICK E FOEPPEL M.D.
Provider Business Mailing Address
First Line : PO BOX 306
Second Line :
City : SOMERS
State : NY
Zip : 10589-0306
Country : US
Telephone Number : 914-276-0880
Fax Number : 914-276-0883
Provider Business Practice Location Address
First Line : 3601 SW 160TH AVE
Second Line : SUITE 250
City : MIRAMAR
State : FL
Zip : 33027-6308
Country : US
Telephone Number : 877-866-7123
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/21/2005
Last Update Date : 12/23/2013

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