Roberto Fogel, MD
Internal Medicine, Gastroenterology in Lake Worth, FL. Individual provider (NPI-1).
NPI number1083033765
StatusActive
Last updated in NPPESJun 15, 2023
Details
- NPI
- 1083033765
- Entity type
- Individual (NPI-1)
- Name
- Roberto Fogel
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 10, 2014
- Certification date
- Dec 8, 2022
- Last updated
- Jun 15, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RG0100X | Internal Medicine, Gastroenterology | ME134227 | FL | Yes |
| 207R00000X | Internal Medicine | MFC1715 | FL |
Practice location
5065 S State Road 7 Ste 201Lake Worth, FL 33449-5439
Phone 561-753-7487 · Fax 561-753-8161
Mailing address
5065 S State Road 7 Ste 201Lake Worth, FL 33449-5439
Phone 561-753-7487 · Fax 561-753-8161
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