Doctor Name: | DR. IRA L FOX |
NPI Number: | 1053647636 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 2022053 |
Business Practice Address: | 23 Green Acre Way Glassboro, NJ - 080282706 |
Business Phone Number: | 8568813961 |
Business Fax Number: | |
Mailing Address: | 23 Green Acre Way, GLASSBORO |
State: | NJ |
Postal Code: | 080282706 |
Phone Number: | 8568813961 |
Fax Number: | |
NPI Enumeration Date: | 11/02/2009 |
NPI Last Update Date: | 11/02/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207QA0505X |
License Number: | 2022053 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Family Medicine |
Taxonomy Specialization: | Adult Medicine |
Taxonomy Definition: |