person
Jenny Ida Fogel, PA
Medical Physician Assistant in Baltimore, Maryland
NPI 1992986350

Jenny Ida Fogel is a Medical Physician Assistant based in Baltimore, MD and is specialized in Medical. Jenny Ida Fogel practices in Baltimore, MD and has the professional credentials of PA. The NPI Number for Jenny Ida Fogel is 1992986350 and holds a License No. C0002156 (Maryland).

The current practice location address for Jenny Ida Fogel is 3031 Fallstaff Rd Unit 307C, Baltimore, MD and can be reached out via phone at 443-525-5576.

Location: 3031 Fallstaff Rd Unit 307C, Baltimore, MD, 21209-5014
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Provider Profile Details
NPI Number
1992986350
Provider Name
Jenny Ida Fogel
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
3031 Fallstaff Rd Unit 307C, Baltimore, MD, 21209-5014
Phone Number
443-525-5576
Fax Number
Provider Enumeration Date
11/14/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
C2156 01 MD MD LICENSE NUMBER
institution
Provider Business Practice Location Address Details
Address
3031 Fallstaff Rd Unit 307C
City
State
Zip
21209-5014
Phone Number
443-525-5576
Fax Number
person
Provider Business Mailing Address Details
Address
3031 Fallstaff Rd Unit 307C
City
State
Zip
21209-5014
Phone Number
443-525-5576
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
C0002156 (Maryland)
Definition
Definition to come...
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