DR. Leonard Fagen, D.P.M.

NPI #1194702761 in Quogue, New York

Provider Information

NPI Number
1194702761
Entity Type
Individual
Name
DR. Leonard Fagen, D.P.M.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Podiatrist
Credential
D.P.M.
Enumeration Date
Dec 27, 2005
Last Updated
Jul 8, 2007

Practice Location

Address
8 WOODLAND WAY
City
Quogue
ZIP Code
11959-1571
Phone
(631) 653-0077

Specialties & Taxonomy Codes

Specialty
Podiatrist

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