| Maria Fogata Md Pc | |
|
100 West Avenue 210s Jenkintown PA 19046-2625 | |
| (215) 726-3845 | |
| (215) 886-1053 |
| Full Name | Maria Fogata Md Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 100 West Avenue 210s, Jenkintown, Pennsylvania |
| Authorized Official Name and Position | Maria Fogata (OWNER) |
| Authorized Official Contact | 2157263845 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Maria Fogata Md Pc 100 West Avenue 210s Jenkintown PA 19046-2625 Ph: (215) 726-3845 | Maria Fogata Md Pc 100 West Avenue 210s Jenkintown PA 19046-2625 Ph: (215) 726-3845 |
| NPI Number | 1962513531 |
|---|---|
| Provider Enumeration Date | 08/31/2006 |
| Last Update Date | 03/20/2023 |
| Medicare PECOS PAC ID | 8921043241 |
|---|---|
| Medicare Enrollment ID | O20050627000759 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962513531 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MD 053767L (Pennsylvania) | Primary |
| 207RG0300X | Internal Medicine - Geriatric Medicine | MD 053767L (Pennsylvania) | Secondary |
| Provider Name | Maria L Fogata |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1609064112 PECOS PAC ID: 5092750331 Enrollment ID: I20050627000932 |
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