Fagan Practice Associates LLC
NPI #1629127295 in Owings Mills, Maryland
Provider Information
- NPI Number
- 1629127295
- Entity Type
- Organization
- Organization Name
- Fagan Practice Associates LLC
- Primary Specialty
- Internal Medicine
- Enumeration Date
- Jan 10, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 9419 COMMON BROOK RD
- Address 2
- STE 200
- City
- Owings Mills
- State
- Maryland
- ZIP Code
- 21117-7536
- Phone
- (410) 581-1662
Authorized Official
- Name
- DR. ROYCE MILTON FAGAN JR., MD
- Title
- PHYSICIAN
- Phone
- (410) 581-1662
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
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