Edward R Fog, DO
Emergency Medicine in Atlantic City, New Jersey
1699707232- Practice location
- 1925 Pacific Ave, Atlantic City, NJ 08401-6713
- Phone
- 609-441-8127
- Fax
- —
- Last updated
- December 21, 2007
Edward R. Fog is an Emergency Medicine based in Atlantic City, NJ. Edward R. Fog practices in Atlantic City, NJ and has the professional credentials of DO. The NPI Number for Edward R. Fog is 1699707232 and holds a License No. MB71314 (NJ). The current practice location address for Edward R. Fog is 1925 Pacific Ave, Atlantic City, NJ 08401-6713 and can be reached out via phone at 609-441-8127.
Provider Profile Details
- NPI Number
- 1699707232
- Provider Name
- Edward R. Fog
- Credential
- DO
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 1925 Pacific Ave, Atlantic City, NJ 08401-6713
- Phone Number
- 609-441-8127
- Primary Taxonomy
- Emergency Medicine · 207P00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- July 6, 2006
- Last Update Date
- December 21, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1925 Pacific Ave
Atlantic City, NJ 08401-6713 - City
- Atlantic City
- State
- New Jersey
- Zip
- 08401-6713
- Phone Number
- 609-441-8127
Provider Business Mailing Address Details
- Address
- 307 S Evergreen Ave
Woodbury, NJ 08096-2739 - City
- Woodbury
- State
- NJ
- Zip
- 08096-2739
- Phone Number
- 856-686-4300
License Information
- License Number
- MB71314
- License State
- NJ
- Taxonomy
- Emergency Medicine · 207P00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Edward R Fog, DO?
The NPI number of Edward R Fog, DO is 1699707232. It was assigned on July 6, 2006 and is currently active in the NPPES registry.
What is the specialty of Edward R Fog, DO?
Edward R Fog, DO is registered under the primary taxonomy Emergency Medicine (code 207P00000X), licensed in NJ under license number MB71314.
Where does Edward R Fog, DO practice?
The practice location is 1925 Pacific Ave, Atlantic City, NJ 08401-6713. The office can be reached at 609-441-8127 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1699707232 directly on the NPPES registry website.