| Robert Fogel Llc | |
|
36 Grandview Ter South Windsor CT 06074-3722 | |
| (860) 573-7132 | |
| (410) 861-6262 |
| Full Name | Robert Fogel Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 36 Grandview Ter, South Windsor, Connecticut |
| Authorized Official Name and Position | Robert Fogel (OWNER) |
| Authorized Official Contact | 8605737132 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Robert Fogel Llc 36 Grandview Ter South Windsor CT 06074-3722 Ph: (860) 573-7132 | Robert Fogel Llc 36 Grandview Ter South Windsor CT 06074-3722 Ph: (860) 573-7132 |
| NPI Number | 1063791051 |
|---|---|
| Provider Enumeration Date | 08/09/2011 |
| Last Update Date | 08/09/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063791051 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 1461 (Connecticut) | Primary |
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