MARTIN FAGAN

BRIDGEVILLE, PA
NPI1437681053
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy343900000X Non-emergency Medical Transport (VAN)
Additional Taxonomies347C00000X Private Vehicle
Enumeration Date2017-04-02
Last Update Date2017-04-02
Business Address
-- MARTIN FAGAN
456 WASHINGTON AVE
BRIDGEVILLE, PA 15017-2368
Phone number: 412-712-4724
Mailing Address
-- MARTIN FAGAN
456 WASHINGTON AVE
BRIDGEVILLE, PA 15017-2368
Phone number: