Individual provider · Type 1 NPI

Michele J. Fagan, MD

Pediatric Emergency Medicine (Pediatrics) Physician · Bronx, NY

NPI number 1255417523 Active

Practice location

Mmc - Peds. Emergency Medicine, 111 East 210th Street
Bronx, NY 10467

Call (718) 920-5312 Map

Mailing address

165 Bennett Ave, Apt. 4G
New York, NY 10040-4013

Specialties and licenses

TaxonomyCodeLicense
Pediatric Emergency Medicine (Pediatrics) Physician Primary 2080P0204X212908 (NY)

Pediatric Emergency Medicine (Pediatrics) Physician: A pediatrician who has special qualifications to manage emergencies in infants and children.

5 other providers at this address

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About NPI 1255417523

Michele J. Fagan, MD's National Provider Identifier is 1255417523, issued on Oct 30, 2006. The primary taxonomy on file is Pediatric Emergency Medicine (Pediatrics) Physician (2080P0204X), and the practice location is in Bronx, NY. The record was last updated on Jul 8, 2007.