Provider Demographics
NPI:1548312713
Name:RHONDA S. FOGLE, MD,PC
Entity type:Organization
Organization Name:RHONDA S. FOGLE, MD,PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:ALEXANDER
Authorized Official - Middle Name:J
Authorized Official - Last Name:ASCH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:781-665-8600
Mailing Address - Street 1:50 TREMONT ST
Mailing Address - Street 2:
Mailing Address - City:MELROSE
Mailing Address - State:MA
Mailing Address - Zip Code:02176-2721
Mailing Address - Country:US
Mailing Address - Phone:781-665-8600
Mailing Address - Fax:781-665-5532
Practice Address - Street 1:50 TREMONT ST
Practice Address - Street 2:
Practice Address - City:MELROSE
Practice Address - State:MA
Practice Address - Zip Code:02176-2721
Practice Address - Country:US
Practice Address - Phone:781-665-8600
Practice Address - Fax:781-665-5532
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care