Mark J Fagan, MD
Mark J Fagan, MD is an Internal Medicine Physician in Providence, Rhode Island. Licensed in Rhode Island. Registered with an NPI since 2006.
- Licensed in
- RI
- In the registry since
- 2006
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
593 Eddy St Apc 5Providence, RI 02903-4923
Phone: (401) 444-4741
Fax: (401) 444-4445
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Internal Medicine Physician (primary) | Taxonomy 207R00000X · Licence MD05975 (RI) |
|---|
Record details
| NPI number | 1962449686 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | June 1, 2006 |
| Last updated in NPPES | September 2, 2016 |
| Mailing address | 17 Virginia Ave, Suite 107, Providence, RI 02905-4406 |
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