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1710203658
IAN FAGAN
NEW YORK, NY
NPI
1710203658
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2010-04-16
Last Update Date
2010-04-16
Business Address
Dr. IAN FAGAN M.D.
550 1ST AVE
NEW YORK, NY 10016-6402
Phone number: 212-263-5506
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Mailing Address
Dr. IAN FAGAN M.D.
524 E 20TH ST APT. 11C
NEW YORK, NY 10009-1302
Phone number: 954-815-6774
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