Thomas Fagan

NPI #1376332445 in Danvers, Massachusetts

Provider Information

NPI Number: 1376332445
Entity Type: Individual
Name: Thomas Fagan
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: May 5, 2025
Last Updated: May 5, 2025

Practice Location

Address: 199 ROSEWOOD DR STE 300
City: Danvers
State: Massachusetts
ZIP Code: 01923-1388
Phone: (978) 494-8163

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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