| Lester Neil Fogelsanger | |
|
303 W Lancaster Ave Suite 2b Wayne PA 19087-3938 | |
| (215) 760-4461 | |
| (678) 693-6166 |
| Full Name | Lester Neil Fogelsanger |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 303 W Lancaster Ave, Wayne, Pennsylvania |
| Authorized Official Name and Position | Lester N Fogelsanger (OWNER) |
| Authorized Official Contact | 2157604461 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lester Neil Fogelsanger 303 W Lancaster Ave Suite 2b Wayne PA 19087-3938 Ph: (215) 760-4461 | Lester Neil Fogelsanger 303 W Lancaster Ave Suite 2b Wayne PA 19087-3938 Ph: (215) 760-4461 |
| NPI Number | 1609252972 |
|---|---|
| Provider Enumeration Date | 08/10/2015 |
| Last Update Date | 08/10/2015 |
| Medicare PECOS PAC ID | 1759681323 |
|---|---|
| Medicare Enrollment ID | O20151203002226 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609252972 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | MD427836 (Pennsylvania) | Primary |
| Provider Name | Lester Neil Fogelsanger |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1881785442 PECOS PAC ID: 0446384606 Enrollment ID: I20100810001038 |
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