Individual provider · Type 1 NPI

Thomas Fagan

Student in an Organized Health Care Education/Training Program · Danvers, MA

NPI number 1376332445 Active

Practice location

199 Rosewood Dr Ste 300
Danvers, MA 01923-1388

Call (978) 494-8163 Map

Mailing address

480 Rantoul St Unit 505
Beverly, MA 01915-3279

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 1376332445

Thomas Fagan's National Provider Identifier is 1376332445, issued on May 5, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Danvers, MA. The record was last updated on May 5, 2025.