| David Fagan, Md | |
|
79 Swiftwater Rd Suite 2 Woodsville NH 03785-1447 | |
| (603) 747-2900 | |
| (603) 747-2992 |
| Full Name | David Fagan, Md |
|---|---|
| Speciality | Internal Medicine |
| Location | 79 Swiftwater Rd, Woodsville, New Hampshire |
| Authorized Official Name and Position | Bonnie L Brill (OFFICE MANAGER) |
| Authorized Official Contact | 6037472900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| David Fagan, Md 79 Swiftwater Rd Suite 2 Woodsville NH 03785-1447 Ph: (603) 747-2900 | David Fagan, Md 79 Swiftwater Rd Suite 2 Woodsville NH 03785-1447 Ph: (603) 747-2900 |
| NPI Number | 1972709137 |
|---|---|
| Provider Enumeration Date | 06/25/2007 |
| Last Update Date | 01/22/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972709137 | NPI | - | NPPES |
| 80002165 | Medicaid | NH | |
| 2165 | Medicaid | VT | |
| FAGA18669 | Other | VT | VT BC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 8707 (New Hampshire) | Primary |
Cottage Hospital Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 103 Swiftwater Rd, Woodsville, NH 03785 Phone: 603-747-2900 Fax: 603-747-2992 | |
Ammonoosuc Community Health Services, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 79 Swiftwater Rd, Woodsville, NH 03785 Phone: 603-747-3740 |