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1245233790
DAVID FAGAN
BRONX, NY
NPI
1245233790
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: NY 210189)
Enumeration Date
2005-05-28
Last Update Date
2007-07-08
Business Address
Dr. DAVID FAGAN M.D.
2016 BRONXDALE AVE STE 203
BRONX, NY 10462-3365
Phone number: 718-597-0700
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Mailing Address
Dr. DAVID FAGAN M.D.
180 W OLIVE ST
LONG BEACH, NY 11561-3314
Phone number: 516-705-5170
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