MEDICARE: STANLEY LOWELL FOX MD INC

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
1	174400000X	Specialist	35-02-7438F	OH

General Provider Information

NPI Number	:	1407987985
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STANLEY LOWELL FOX MD INC

Provider Business Mailing Address
First Line	:	464 RICHMOND RD
Second Line	:	SUITE 101
City	:	RICHMOND HTS
State	:	OH
Zip	:	44143-2792
Country	:	US
Telephone Number	:	216-486-2233
Fax Number	:	216-486-3175

Provider Business Practice Location Address
First Line	:	464 RICHMOND RD
Second Line	:	SUITE 101
City	:	RICHMOND HTS
State	:	OH
Zip	:	44143-2792
Country	:	US
Telephone Number	:	216-486-2233
Fax Number	:	216-486-3175

Authorized Official
Title or Position	:	PHYSICIAN
Name	:	DR. STANLEY L FOX
Credential	:	MD
Telephone Number	:	216-486-2233

Provider Enumeration Date	:	03/08/2007
Last Update Date	:	07/06/2010

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