| Fagan Practice Associates Llc | |
|
9419 Common Brook Rd Ste 200 Owings Mills MD 21117-7536 | |
| (410) 581-1662 | |
| Not Available |
| Full Name | Fagan Practice Associates Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 9419 Common Brook Rd, Owings Mills, Maryland |
| Authorized Official Name and Position | Royce Milton Fagan (PHYSICIAN) |
| Authorized Official Contact | 4105811662 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fagan Practice Associates Llc 9419 Common Brook Rd Ste 200 Owings Mills MD 21117-7536 Ph: (410) 581-1662 | Fagan Practice Associates Llc 9419 Common Brook Rd Ste 200 Owings Mills MD 21117-7536 Ph: (410) 581-1662 |
| NPI Number | 1629127295 |
|---|---|
| Provider Enumeration Date | 01/10/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629127295 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | D55625 (Maryland) | Primary |
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