Healthcare Provider Details

I. General information

NPI: 1760571954
Provider Name (Legal Business Name): RICHARD BRIAN FOX M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/12/2006
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 FOREST AVE STE 110
PARAMUS NJ
07652-5238
US

IV. Provider business mailing address

1875 S BASCOM AVE STE 2400
CAMPBELL CA
95008-2356
US

V. Phone/Fax

Practice location:
  • Phone: 408-718-1915
  • Fax:
Mailing address:
  • Phone: 408-402-2452
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2080I0007X
TaxonomyPediatric Clinical & Laboratory Immunology Physician
License Number25MA11967400
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code207KI0005X
TaxonomyClinical & Laboratory Immunology (Allergy & Immunology) Physician
License Number25MA11967400
License Number StateNJ
# 3
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberG67169
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: