Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SAMUEL SHAW FAGER, MD
Active Sole ProprietorSAMUEL SHAW FAGER, MD is a Pediatrics healthcare provider located in VILLANOVA, Pennsylvania. NPI 1780112078 is currently active in the NPPES registry. Verify at CMS.
Pediatrics · VILLANOVA, PA
Registration Details
- NPI Number
- 1780112078
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 31, 2017 (9.1670391578401 yrs)
- Last Updated
- May 31, 2017
- Licenses
-
028579 (CT)G37093 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1415 OLD GULPH RDVILLANOVA, PA, 190852041Browse PA providers · Browse ZIP 19085
- Phone
- 6105200246
- Fax
- 6105253737
- Primary Specialty
-
Pediatrics
208000000X
- Additional Specialty
- Pediatrics
Other Pediatrics Providers in VILLANOVA, PA
| Name | Credential | NPI |
|---|---|---|
| DR. ALLISON S. FANELLI | DO | 1326006636 |
| DR. GITY BANAN ETEMAD | M.D. | 1861715716 |
| DR. JOHN GOLDENER | M.D. | 1326395559 |
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.