ERICH A FOGG

WELLS, ME
NPI1811082316
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: ME  PA-763)
Enumeration Date2006-10-03
Last Update Date2009-12-02
Business Address
Mr. ERICH A FOGG PA-C
112 SANFORD RD
WELLS, ME 04090-5533
Phone number: 207-641-8100
Mailing Address
Mr. ERICH A FOGG PA-C
15 HOSPITAL DRIVE MEDICAL STAFF OFFICE
YORK, ME 03909-1011
Phone number: 207-351-2478
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