Dr DENISE L FOG MD is a female medical professional, specializing in Diagnostic Radiology. She graduated in 1998 from Umdnj New Jersey School Of Osteo Medicine.
SOUTH JERSEY RADIOLOGY ASSOC PA
807 N HADDON AVE
SUITE 5
HADDONFIELD
NJ
080331749
Tel: 8566161130
| Npi | 1548268733 |
| Pac Id | 4981688751 |
| Professional Enrollment Id | I20040617001101 |
| Last Name | FOG |
| First Name | DENISE |
| Middle Name | L |
| Suffix | |
| Gender | F |
| Credential | MD |
| Medical School Name | UMDNJ NEW JERSEY SCHOOL OF OSTEO MEDICINE |
| Graduation Year | 1998 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
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| Organization Legal Name | SOUTH JERSEY RADIOLOGY ASSOC PA |
| Group Practice Pac Id | 9133115587 |
| Number Of Group Practice Members | 50 |
| Line 1 Street Address | 807 N HADDON AVE |
| Line 2 Street Address | SUITE 5 |
| Marker Of Address Line 2 Suppression | |
| City | HADDONFIELD |
| State | NJ |
| Zip Code | 080331749 |
| Phone Number | 8566161130 |
| Hospital Affiliation Ccn 1 | 310022 |
| Hospital Affiliation Lbn 1 | VIRTUA WEST JERSEY HOSPITALS |
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| Professional Accepts Medicare Assignment | Y |
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