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1255417523
MICHELE J FAGAN
BRONX, NY
NPI
1255417523
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2080P0204X Pediatrics, Pediatric Emergency Medicine
(Licence: NY 212908)
Enumeration Date
2006-10-30
Last Update Date
2007-07-08
Business Address
MICHELE J FAGAN MD
MMC - PEDS. EMERGENCY MEDICINE 111 EAST 210TH STREET
BRONX, NY 10467
Phone number: 718-920-5312
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Mailing Address
MICHELE J FAGAN MD
165 BENNETT AVE APT. 4G
NEW YORK, NY 10040-4013
Phone number: 718-920-5312
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