JEAN MACK-FOGG
Nurse Practitioner - Pediatrics
Active
Individual
NPI: 1023048600
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Nurse Practitioner - Pediatrics | 363LP0200X | Yes | 7475 (CT) |
Frequently Asked Questions
NPI 1023048600 is the National Provider Identifier for JEAN MACK-FOGG, a Nurse Practitioner - Pediatrics provider located in Rochester, NY. This NPI was enumerated on July 3, 2006.
JEAN MACK-FOGG practices at 601 ELMWOOD AVE, Rochester, NY 14642.
Quick Facts
- NPI
- 1023048600
- Type
- Individual
- Enumerated
- Jul 3, 2006
- Last Updated
- Jul 24, 2018
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