DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. LINDA NADINE FAGAN, MD

Active Sole Proprietor

DR. LINDA NADINE FAGAN, MD is a 202C00000X healthcare provider located in BASKING RIDGE, New Jersey. NPI 1861864654 is currently active in the NPPES registry. Verify at CMS.

202C00000X · BASKING RIDGE, NJ

Registration Details

NPI Number
1861864654
Provider Type
Individual
Gender
Female
NPI Issued
Oct 20, 2015 (10.844581174544 yrs)
Last Updated
Oct 20, 2015
License
25MA07530800 (NJ)
Sole Proprietor
Yes

Practice Information

Address
24 INDEPENDENCE DR
BASKING RIDGE, NJ, 079203815
Browse NJ providers · Browse ZIP 07920
Phone
9084624620
Primary Specialty
202C00000X
202C00000X
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.