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General NPI Number Information
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NPI Number | 1518051838
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Entity Type | Individual
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Provider Name | ROBERT J. FOGLIANI MD
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Gender | Male
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Dates
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Enumeration Date | 10/03/2006
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Last Update Date | 07/24/2019
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Provider Practice Location Address
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Address Line | 250 OLD HOOK RD
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City | WESTWOOD
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State | NJ
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Zip | 07675-3123
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Country | US
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Telephone | 201-358-3000
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Fax |
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Provider Business Mailing Address
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Address Line | 645 WESTWOOD AVE
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City | RIVERVALE
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State | NJ
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Zip | 07675-6238
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Country | US
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Telephone | 201-358-1238
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 25MA04298500
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 25MA04298500
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License Number State | NJ
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