Stephen Chase Fog, L.AC.

NPI #1316720253 in South Salem, New York

Provider Information

NPI Number: 1316720253
Entity Type: Individual
Name: Stephen Chase Fog, L.AC.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Acupuncturist
Credential: L.AC.
Enumeration Date: Aug 15, 2023
Last Updated: Aug 15, 2023

Practice Location

Address: 402 OAKRIDGE CMNS
City: South Salem
State: New York
ZIP Code: 10590-2438
Phone: (203) 536-1081

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Acupuncturist	171100000X	Primary

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