JASON THOMAS FOGU

BAYONNE, NJ
NPI1538243670
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: NJ  40QA00679700)
Enumeration Date2006-10-25
Last Update Date2007-07-08
Business Address
MR. JASON THOMAS FOGU PHYSICAL THERAPIST
21 -29 WEST 25TH STREET
BAYONNE, NJ 07002-7300
Phone number: 201-339-4160
Mailing Address
MR. JASON THOMAS FOGU PHYSICAL THERAPIST
11 HUMPHREY AVE
BAYONNE, NJ 07002-7300
Phone number: 201-240-4587