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Dr. Robert G Fugitt, MD
Specialist in Kenmore, New York
NPI 1104821453

Robert G Fugitt is a Specialist based in Kenmore, NY. Robert G Fugitt practices in Kenmore, NY and has the professional credentials of MD. The NPI Number for Robert G Fugitt is 1104821453 and holds a License No. 120597-1 (New York).

The current practice location address for Robert G Fugitt is 3800 Delaware Ave, Kenmore, NY and can be reached out via phone at 716-873-3828 and via fax at 716-873-5463.

Location: 3800 Delaware Ave, Kenmore, NY, 14217-1094
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104821453
Provider Name
Robert G Fugitt
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
3800 Delaware Ave, Kenmore, NY, 14217-1094
Phone Number
716-873-3828
Fax Number
716-873-5463
Provider Enumeration Date
06/14/2005
Last Update Date
12/14/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00653136 05 NY
1901010 01 NY IHA
00010058801 01 NY UNIVERA
040426000254 01 NY FIDELIS
institution
Provider Business Practice Location Address Details
Address
3800 Delaware Ave
City
Kenmore
State
New York
Zip
14217-1094
Phone Number
716-873-3828
Fax Number
716-873-5463
person
Provider Business Mailing Address Details
Address
3800 Delaware Ave
City
Kenmore
State
New York
Zip
14217-1094
Phone Number
716-873-3828
Fax Number
716-873-5463
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
120597-1 (New York)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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