EDWARD R. FOG

ATLANTIC CITY, NJ
NPI1699707232
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207P00000X Emergency Medicine
(Licence: NJ  MB71314)
Enumeration Date2006-07-06
Last Update Date2007-12-21
Business Address
-- EDWARD R. FOG DO
1925 PACIFIC AVE
ATLANTIC CITY, NJ 08401-6713
Phone number: 609-441-8127
Mailing Address
-- EDWARD R. FOG DO
307 S EVERGREEN AVE
WOODBURY, NJ 08096-2739
Phone number: 856-686-4300
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