| | Physician Last Name: | Fogel |
| | Physician First Name: | Paul |
| | Physician Middle Name: | S |
| | Address: | 36 Gregory Place
Richboro, Pennsylvania 18954 |
| | License Number: | 000056 |
| | License Type: | PA |
| | Year of Birth: |
|
| | Effective Date: | 12/26/1997 |
| | Action Description for DOH Webpage: | License surrender |
| | Misconduct Description for DOH Webpage: | The physician assistant did not contest the charges of having been denied licensure as a physician assistant by the New Jersey State Board of Medical Examiners for false statements on his license application and disciplined by the Commonwealth of Pennsylvania Bureau of Professional and Occupational Affairs for practicing without a valid certificate and making false statements when obtaining certification as a physician assistant. |
| | License Limitations or Conditions for DOH Webpage: | |
| | Board Order: |
|
