Mark J Fagan is a Internal Medicine in Providence, Rhode Island. Mark J Fagan practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Mark J Fagan is 1962449686. The last update date is 2016-09-02.
Mark J Fagan's current location address is 593 Eddy St, Providence, Rhode Island. You can contact this provider via phone number 4014444741 and fax number 4014444445. The mailing address for Mark J Fagan is 593 Eddy St, Providence, Rhode Island. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark J Fagan |
|---|---|
| Address | 593 Eddy St, Providence, Rhode Island |
| Phone Number | 4014444741 |
| Fax Number | 4014444445 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1962449686 |
|---|---|
| Provider Enumeration Date | 2006-06-01 |
| Last Updated Date | 2016-09-02 |
Provider Mailing Address Detail
| Address | 593 Eddy St |
|---|---|
| City | Providence |
| State | Rhode Island (RI) |
| Post Code | 29034923 |
| Phone Number | 4014444741 |
| Fax Number | 4014444445 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | MD05975 |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 9006702 | RI | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Mark J Fagan by the Centers for Medicare & Medicaid Services?
The Mark J Fagan has been assigned the NPI (National Provider Identifier) 1962449686. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Mark J Fagan's physical address?
The Mark J Fagan is physically located at 593 Eddy St, in the city of Providence, RI, with the postal code 29034923.
What is the area of specialization for Mark J Fagan, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Mark J Fagan is Internal Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 207R00000X.
When was the Mark J Fagan's 1962449686 issued?
The Mark J Fagan's 1962449686 was issued on 2006-06-01.
When was the information related to Mark J Fagan most recently updated or refreshed?
The details pertaining to the Mark J Fagan, including its address, specialty, and other relevant information, were last updated or refreshed on 2016-09-02.