Fog, Denise
Fog, Denise is an individual health care provider with primary practice located at 748 Kings Hwy , Woodbury NJ 08096-3157. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Fog, Denise can be contacted via phone (856) 848-4998.Contact Information
Primary practice address
748 Kings Hwy
Woodbury NJ 08096-3157
Phone: (856) 848-4998
Fax: (856) 848-9288
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | MB077069 | New Jersey |
Profile Details
| NPI number | 1548268733 |
|---|---|
| LBN Legal business name | Fog, Denise |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 12th, 2005 |
| Last updated | Jan 22nd, 2015 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1548268733 | NPPES |
| New Jersey | MEDICAID | 0015385 |
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