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1114920220
MATTHEW I FOGG
BLUE BELL, PA
NPI
1114920220
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207K00000X Allergy & Immunology
(Licence: PA MD417599)
Enumeration Date
2005-05-23
Last Update Date
2022-02-23
Business Address
MATTHEW I FOGG MD
470 SENTRY PKWY E STE 200
BLUE BELL, PA 19422-2324
Phone number: 610-825-5800
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Mailing Address
MATTHEW I FOGG MD
9800 SHELBYVILLE RD STE 220
LOUISVILLE, KY 40223-2992
Phone number: 502-429-8585
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