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NPI Code Detail

MEDICARE: ERIN S FOGEL M.D.

MEDICARE:   ERIN S FOGEL  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
1207WX0120XCornea and External Diseases Specialist Physician9218NH
2207W00000XOphthalmology Physician9218NH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10109730Y0NH01OTHERNHANTHEM NH
29666977001OTHERNH9666977001
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4180023894OTHERNH180023894

General Provider Information

NPI Number : 1417941808
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERIN S FOGEL M.D.
Provider Business Mailing Address
First Line : 2 PILLSBURY ST STE 100
Second Line :
City : CONCORD
State : NH
Zip : 03301-3502
Country : US
Telephone Number : 603-228-1104
Fax Number : 603-228-7061
Provider Business Practice Location Address
First Line : 2 PILLSBURY ST STE 100
Second Line :
City : CONCORD
State : NH
Zip : 03301-3502
Country : US
Telephone Number : 603-228-1104
Fax Number : 603-228-7061
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/31/2005
Last Update Date : 04/21/2020

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Directions to “ ERIN S FOGEL M.D.” Practice Location

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