Samuel Shaw Fager, MD

NPI #1780112078 in Villanova, Pennsylvania

Provider Information

NPI Number: 1780112078
Entity Type: Individual
Name: Samuel Shaw Fager, MD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pediatrics
Credential: MD
Enumeration Date: May 31, 2017
Last Updated: May 31, 2017

Practice Location

Address: 1415 OLD GULPH RD
City: Villanova
State: Pennsylvania
ZIP Code: 19085-2041
Phone: (610) 520-0246

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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