DR. Walter J. Fagan, M.D.

NPI #1659703635 in Jim Thorpe, Pennsylvania

Provider Information

NPI Number: 1659703635
Entity Type: Individual
Name: DR. Walter J. Fagan, M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Surgery - Vascular Surgery
Credential: M.D.
Enumeration Date: Aug 1, 2013
Last Updated: Aug 1, 2013

Practice Location

Address: 211 CENTER AVE
City: Jim Thorpe
State: Pennsylvania
ZIP Code: 18229-1205
Phone: (817) 845-1968

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery - Vascular Surgery — Vascular Surgery	2086S0129X	Primary

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Organizations

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