Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. WALTER J. FAGAN, M.D.
Active Sole ProprietorDR. WALTER J. FAGAN, M.D. is a Vascular Surgery healthcare provider located in JIM THORPE, Pennsylvania. NPI 1659703635 is currently active in the NPPES registry. Verify at CMS.
Vascular Surgery · JIM THORPE, PA
Registration Details
- NPI Number
- 1659703635
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 1, 2013 (13.076155749556 yrs)
- Last Updated
- Aug 1, 2013
- License
-
MD035284E (PA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
211 CENTER AVEJIM THORPE, PA, 182291205Browse PA providers · Browse ZIP 18229
- Phone
- 8178451968
- Primary Specialty
-
Vascular Surgery
2086S0129X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.