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1760527469
THOMAS MICHAEL FOGARTY
FAIRFAX, VA
NPI
1760527469
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: VA 0101042513)
Enumeration Date
2007-02-20
Last Update Date
2007-07-08
Business Address
Dr. THOMAS MICHAEL FOGARTY M.D.
10369 DEMOCRACY LN #A
FAIRFAX, VA 22030-2548
Phone number: 703-383-6933
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Mailing Address
Dr. THOMAS MICHAEL FOGARTY M.D.
10369 DEMOCRACY LN #A
FAIRFAX, VA 22030-2548
Phone number: 703-383-6933
Copy
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