Provider Demographics
NPI:1497867469
Name:FOX, FREDERICK J (MD)
Entity Type:Individual
Prefix:DR
First Name:FREDERICK
Middle Name:J
Last Name:FOX
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Gender:M
Credentials:MD
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Mailing Address - Street 1:351 BUENA VISTA AVE E
Mailing Address - Street 2:APT 801E
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94117-4178
Mailing Address - Country:US
Mailing Address - Phone:415-255-2201
Mailing Address - Fax:415-255-2201
Practice Address - Street 1:4150 CLEMENT ST # 181G
Practice Address - Street 2:VETERANS AFFAIRS MEDICAL CENTER
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94121-1545
Practice Address - Country:US
Practice Address - Phone:415-221-4810
Practice Address - Fax:415-750-6641
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
CAG34189207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine