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1992986350
JENNY IDA FOGEL
BALTIMORE, MD
NPI
1992986350
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Former Name
JENNY IDA TANENBERG
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: MD C0002156)
Enumeration Date
2007-11-14
Last Update Date
2016-11-08
Business Address
-- JENNY IDA FOGEL P.A.
3031 FALLSTAFF RD UNIT 307C
BALTIMORE, MD 21209-5014
Phone number: 443-525-5576
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Mailing Address
-- JENNY IDA FOGEL P.A.
3031 FALLSTAFF RD UNIT 307C
BALTIMORE, MD 21209-5014
Phone number:
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