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General NPI Number Information
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NPI Number | 1578727889
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Entity Type | Individual
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Provider Name | JONATHAN C FOX MD, PHD
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Gender | Male
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Dates
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Enumeration Date | 07/16/2008
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Last Update Date | 06/19/2014
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Provider Practice Location Address
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Address Line | 400 EAST JAMIE COURT MYOKARDIA, INC., STE 102
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City | SOUTH SAN FRANCISCO
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State | CA
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Zip | 94080
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Country | US
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Telephone | 650-741-0902
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Fax |
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Provider Business Mailing Address
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Address Line | 1788 CLAY ST STE 809
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City | SAN FRANCISCO
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State | CA
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Zip | 94109-3613
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Country | US
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Telephone | 610-864-3190
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | MD-049591-L
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License Number State | PA
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