Individual provider · Type 1 NPI

Devon Marc Fagel, MD, JD

Student in an Organized Health Care Education/Training Program · Bridgeport, CT

NPI number 1265814222 Active

Practice location

267 Grant St
Bridgeport, CT 06610-2805

Mailing address

360 New Canaan Rd
Wilton, CT 06897-3331

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1265814222

Devon Marc Fagel, MD, JD's National Provider Identifier is 1265814222, issued on Jun 25, 2015. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Bridgeport, CT. The record was last updated on Jun 25, 2015.