Fogel, Mark A
Fogel, Mark A is an individual health care provider with primary practice located at 3401 Civic Center Blvd Children'S Hospital Of Philadelphia - Cardiology, Philadelphia PA 19104-4319. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Cardiology. Allopathic & Osteopathic Physicians / Pediatric Cardiology is his primary health care specialty. Fogel, Mark A can be contacted via phone (215) 590-4040.Contact Information
Primary practice address
3401 Civic Center Blvd Children'S Hospital Of Philadelphia - Cardiology
Philadelphia PA 19104-4319
Phone: (215) 590-4040
Fax: (267) 426-9800
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD043666E | Pennsylvania |
| Allopathic & Osteopathic Physicians / Pediatric Cardiology | 2080P0202X | MD043666E | Pennsylvania |
Profile Details
| NPI number | 1164454971 |
|---|---|
| LBN Legal business name | Fogel, Mark A |
| Credentials | Master of Arts (MA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 6th, 2006 |
| Last updated | Apr 16th, 2013 - about 11 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 | 1164454971 | NPPES |
| Pennsylvania | MEDICAID | 001300843 | |
| Pennsylvania | MEDICAID | 5255201 |
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