Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Samuel Shaw Fager, MD

Individual provider Pediatrics Physician · NPI 1780112078

Samuel Shaw Fager, MD is a Pediatrics Physician in Villanova, Pennsylvania. Practices as a sole proprietor. Licensed in California and Connecticut.

Licensed in
CA, CT
In the registry since
2017
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1415 Old Gulph Rd
Villanova, PA 19085-2041
Phone: (610) 520-0246
Fax: (610) 525-3737
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 028579 (CT)
Pediatrics Physician Taxonomy 208000000X · Licence G37093 (CA)

Record details

NPI number1780112078
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 31, 2017
Last updated in NPPESMay 31, 2017

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