MR. Erich A Fogg, PA-C

NPI #1811082316 in Wells, Maine

Provider Information

NPI Number: 1811082316
Entity Type: Individual
Name: MR. Erich A Fogg, PA-C
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Oct 3, 2006
Last Updated: Dec 2, 2009

Practice Location

Address: 112 SANFORD RD
City: Wells
State: Maine
ZIP Code: 04090-5533
Phone: (207) 641-8100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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