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Anna Fogg, MSPT
Specialist in Bloomsburg, Pennsylvania
NPI 1174553408

Anna Fogg is a Specialist based in Bloomsburg, PA. Anna Fogg practices in Bloomsburg, PA and has the professional credentials of MSPT. The NPI Number for Anna Fogg is 1174553408 and holds a License No. PT016699L (Pennsylvania).

The current practice location address for Anna Fogg is 303 Fisher Run Rd, Bloomsburg, PA and can be reached out via phone at 570-332-5280 and via fax at 570-332-5280.

Location: 303 Fisher Run Rd, Bloomsburg, PA, 17815-7435
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1174553408
Provider Name
Anna Fogg
Credential
MSPT
Provider Entity Type
Individual
Gender
Female
Address
303 Fisher Run Rd, Bloomsburg, PA, 17815-7435
Phone Number
570-332-5280
Fax Number
570-332-5280
Provider Enumeration Date
07/03/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3689029 01 PA AETNA HMO PROVIDER #
50038611 01 PA CAPITAL BLUE CROSS #
372926 01 PA HIGHMARK BS GROUP NO.
institution
Provider Business Practice Location Address Details
Address
303 Fisher Run Rd
City
Bloomsburg
State
Pennsylvania
Zip
17815-7435
Phone Number
570-332-5280
Fax Number
570-332-5280
person
Provider Business Mailing Address Details
Address
303 Fisher Run Rd
City
Bloomsburg
State
Pennsylvania
Zip
17815-7435
Phone Number
570-332-5280
Fax Number
570-332-5280
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
PT016699L (Pennsylvania)
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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