MARK J FAGAN

PROVIDENCE, RI
NPI1962449686
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: RI  MD05975)
Enumeration Date2006-06-01
Last Update Date2016-09-02
Business Address
-- MARK J FAGAN MD
593 EDDY ST APC 5
PROVIDENCE, RI 02903-4923
Phone number: 401-444-4741
Mailing Address
-- MARK J FAGAN MD
17 VIRGINIA AVE SUITE 107
PROVIDENCE, RI 02905-4406
Phone number: 401-443-4992
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