Provider Demographics
NPI:1881785442
Name:FOGELSANGER, LESTER N (MD)
Entity type:Individual
Prefix:DR
First Name:LESTER
Middle Name:N
Last Name:FOGELSANGER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1810 LIACOURAS WALK
Mailing Address - Street 2:5TH FLOOR
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19122-6026
Mailing Address - Country:US
Mailing Address - Phone:215-204-7276
Mailing Address - Fax:215-204-5419
Practice Address - Street 1:1810 LIACOURAS WALK
Practice Address - Street 2:5TH FLOOR
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19122-6026
Practice Address - Country:US
Practice Address - Phone:215-204-7276
Practice Address - Fax:215-204-5419
Is Sole Proprietor?:No
Enumeration Date:2006-09-27
Last Update Date:2007-08-30
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAMD4278362084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry