| Doctor Name: | DR. ANTHONY TODD FOJO |
| NPI Number: | 1043505183 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 2014018535 |
| Business Practice Address: | 4901 Forest Park Ave Saint Louis, MO - 631081402 |
| Business Phone Number: | 3143625060 |
| Business Fax Number: | 3143626959 |
| Mailing Address: | 9910 Franklin Square Dr 2110, BALTIMORE |
| State: | MD |
| Postal Code: | 212364902 |
| Phone Number: | 4109336423 |
| Fax Number: | 4109331390 |
| NPI Enumeration Date: | 06/16/2011 |
| NPI Last Update Date: | 07/13/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 2014018535 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MO |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |