Individual provider · Type 1 NPI

Delaney Fagan, PA-C

Medical Physician Assistant · Newark, DE

NPI number 1205453719 Active

Practice location

4755 Ogletown Stanton Rd
Newark, DE 19718-2200

Mailing address

1511 Gilpin Ave
Wilmington, DE 19806-3015

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XC5-0011533 (DE)

Medical Physician Assistant: Definition to come...

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About NPI 1205453719

Delaney Fagan, PA-C's National Provider Identifier is 1205453719, issued on Jun 30, 2020. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Newark, DE. The record was last updated on Jan 3, 2025.