Provider Demographics
NPI:1043505183
Name:FOJO, ANTHONY TODD (MD)
Entity Type:Individual
Prefix:DR
First Name:ANTHONY
Middle Name:TODD
Last Name:FOJO
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:9910 FRANKLIN SQUARE DR 2110
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21236-4902
Mailing Address - Country:US
Mailing Address - Phone:410-933-6423
Mailing Address - Fax:410-933-1390
Practice Address - Street 1:4901 FOREST PARK AVE
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63108-1402
Practice Address - Country:US
Practice Address - Phone:314-362-5060
Practice Address - Fax:314-362-6959
Is Sole Proprietor?:No
Enumeration Date:2011-06-16
Last Update Date:2015-07-13
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Provider Licenses
StateLicense IDTaxonomies
MDD79105207R00000X
MO2014018535208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice